| Personal information |
| *First name: |
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| *Last name: |
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| *Address: |
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| *City: |
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| *State: |
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| Country: |
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| *ZIP code: |
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| *E-mail address: |
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| *Phone number: |
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| Parent(s) or guardian(s): |
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Academic information
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| Major: |
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| High school: |
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| City: |
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| State/province: |
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| ZIP code: |
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| Phone number: |
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| School counselor: |
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| ACT/SAT: |
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| GPA: |
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| *Graduation year: |
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Have you done any post-high school coursework?
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Yes No
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| Hockey information |
| Name of team: |
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| Position: |
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| Shoot: |
Right Left |
| Height: |
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Coach:
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Coach's phone number:
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Coach's e-mail:
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| Other varsity sport(s) played |
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| Honors and awards received: |
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| Comments, questions or special requests: |
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| Would you like to receive an admissions packet? |
Send admissions packet
Do NOT send admissions packet |
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