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UConn Men's Ice Hockey Recruiting Form

This information will be emailed to the Ice Hockey coaching staff.
Please fill in all required fields which are marked with an asterick.

Personal Information

First Name:
Middle Name:
Last Name:
Address:
Town:
State/Province:
US or Canada only
Zip:
Country:
Phone:
Phone Country Code:
if outside US/Canada
Birthday:
Email address:
Father:
Occupation:
Father's Work Phone:
Father's Fax:
Mother:
Occupation:
Mother's Work Phone:
Mother's Fax:
UConn Alumni, Family, and Friends:

Academic Information

High School:
Address:
City:
State:
Zip:
Country:
if outside US/Canada
School Phone:
School Phone Country Code:
if outside US/Canada
GPA:
Class Rank: out of 
Graduation Year:
SAT Total:
SAT Math:
SAT Verbal:
ACT Score:
Have you taken any college classes? Yes No
How many credits?:
What Classes?:
College Major:

Athletic Information

Height:
Weight:
Position:
Shot: Right Left
League:
Games played last year:
Games Won:
Games Lost:
Coach:
Coach's Work Phone:
Home Arena:
Team:
Goals:
Assists:
Goals Against:
Save %:
By submitting this form you are giving your consent for a copy of your academic transcript and available test scores to be released to a representative of the University of Connecticut.


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