Recruitment Form « IUP I Mens Hockey

Recruitment Form

Recruitment Form

Please fill out the information below and an IUP Hockey Recruiting Representative will get back to you shortly. Items marked (*) are required fields.

*Required Field

*Name

*Address

*City

*State

*Zip Code

*E-mail Address

*Primary Phone

Cell Phone

*Date of Birth

*Height

*Weight

Parents’ Names

Academic Information

High School

Graduation Date

ACT/SAT

Score

GPA

Have You Attended Previous Colleges?
Yes No

If Yes, Which One(s)?

Have You Applied To IUP?	Have You Been Accepted To IUP?
What Is Your Current Level of Interest In Attending IUP?	Will You Be Attending IUP?

Athletic Information

Previous/Current Team

Previous/Current Coach

Coach’s Phone

Coaches E-mail Address

Years of Experience

Position

Shoot

Last Season’s Stats

Games Played

Goals/GAA

Assists/Save %

PIMs/Shutouts

Additional Information

National or Select Teams	Athletic Awards or Achievements
Important Info To Know About Yourself

Verify Code

PUCK DROPS OCTOBER 1, 2010

NEXT GAME
PREVIOUS GAME

September 24, 2010

LOCATION: Ice World

IUP

8:00 PM

Townson

Team	1	2	3	OT	F
IUP					0
Townson					0

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