Field Hockey Questionnaire


GENERAL INFORMATION:

First Name:  
Middle Initial:
Last Name:  
Telephone:
Address:  
City:  
State:   Zip:
Email Address:    
Mother/Guardian:
Occupation:
Business Phone:
Father/Guardian:
Occupation:
Business Phone:
Brothers:
Sisters:
Date of Birth:
Age:

ACADEMIC INFORMATION:

Name of High School:
Guidance Counselor:
Telephone:
High school graduation date:
S.A.T. Scores:
CR:     M:     W:
ACT Score:
Class Rank:
  out of
GPA:
Please list your academic interest(s) or major field(s) of study:

ATHLETIC INFORMATION:

  Height:     Weight:
Mile Time:
40-Yard Dash:
Position(s):
Field Hockey awards:
High School Coach:
Telephone:
E-mail:
Hockey Summer Camps attended:
Non-school sponsored hockey activities (check all that apply):
USFHA Festival
Futures
Indoor Hockey League
Summer League
State Games
Tape Available?       Yes       No
Other sports played in high school:
What other varsity sports do you want to play in college?