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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