Northern Michigan University

Hockey Questionnaire

Personal Information

First Name

Last Name

Street

City

State/Province

Zip/Postal code

Phone

Email (required)

Date of Birth
/ /

Parent/Guardian name(s) Sibling Name(s)

Scholastic Information

High School

Grad Year

School Phone Number
  

School Address

City

State/Prov

Zip/Postal Code

Academic Information

SAT
ACT
G.P.A

Anticipated Enrollment Semester
Degree*   
 Major
*NCAA student-athletes need to be enrolled in a four-year program (baccalaureate) in order to play sports.
Have you applied to the NCAA clearing house?
 PIN #
If Transferring to NMU
College/University
 City
 State
 Zip
Credits to Transfer
 GPA
    
Hockey Information
Position(s) Played

Shoot
 Right Left  		If Goalkeeper Games
 G.A.A Saves%

Coach's name

Home phone

Work phone

Statistics
Games Goals Assists
Points
Current Team Current League    
   

List of top 3 opponents faced

Future Hockey Goals

Name

Team
Name
Team
Name
Team
 
Have you ever played for or signed a contract with a Major Junior team? Yes No
Have you ever taken college level courses? Yes No

If yes, name the college and when the courses were taken.