Player Recruitment Form

PERSONAL INFORMATION

Please fill out the application as completely as possible.

First Name:

Last Name:

Birthday:

Address:

City:

State:

Zip Code:

E-Mail:

Phone:

Parent/Guardian:

Phone:

EDUCATIONAL INFORMATION

PSU Student: Yes No

If Yes

Current class level:

Major:

GPA:

If No

Have you been accepted to PSU: Yes No

Expected term of arrival:

Expected major:

High School:

Graduation Date:

GPA:

HOCKEY INFORMATION

Position:

Shot/Glove:

Height:

Weight:

Player

Goalie
GP: W/L:
G: GAA:
A: SV%:
+/-: SO:
PIM: PIM:

HOCKEY HISTORY

Last team played for:

Coach:

Individual Strengths:

Individual Weakness:

Awards/Achievements: