Personal Information

Name:

Address:

Phone Number:

( ) -

Email Address:

AIM Screenname:

Hockey Information

Position:

Current/Last Team:

Team’s website:

Coach’s email:

Height:

foot  inches

Weight:

Games played:

Goals:

Assists:

Penalty Minutes:

Wins:

GAA:

Save %:

Awards:

Academic Information

Current School:

Current Year:

GPA:

SAT:

ACT:

Other Information

Application status with CNU

Accepted, Plan to Attend

Accepted and undecided

Applied, but not yet accepted

Have not applied

Is there anything the team can do that would help you to choose to attend CNU and play hockey?

How did you hear about CNU Hockey?

Friend

Coach

Campus Visit

Web Search

Other (please explain)

Please include any other information that you would like.