Plymouth State Athletics : Prospective Men's Ice Hockey Player Information

Prospective Men's Ice Hockey Player Information

(For more information, contact Head Coach Craig Russell at 603-568-0204 or c_russell@plymouth.edu)

Name
Address
City, State, Zip
Home Phone
Cell Phone
E-mail Address
Date of Birth
Ht.
Wt.
Mother's Name
Occupation
Father's Name
Occupation

Academic Information
Name of Current School
City, State, Zip
Graduation Date
Guidance Counselor
*College Board Scores*
SAT Verbal
SAT Math
SAT Composite
Date Taken
Class Rank
High School GPA
Planned PSU Major
Do you plan to enter PSU as a freshman?
Date you applied to PSU
Activities and Organizations

*Hockey Information*
Position
Shot (L or R)
Current Team
Coach's Name
Coach's Phone
Important Stats/Honors

*Additional Information*
Other Sports Played/Interests
Other schools you are interested in