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Introduction Section

This is the Central Michigan Field Hockey Recruiting Questionnaire.

Personal Information

First Name:

Last Name:

Preferred Name:

Country:

Street Address:

City:

State:

Zip:

Grad Year:

Date of Birth:

Email Address:

Home Phone:

Mobile Number:

FaceBook:

paste the URL from your Facebook profile

Twitter:

enter your twitter username only

Parent(s) Information

Mother's First Name:

Mother's Last Name:

Mother's Email Address:

Mother's Cell Phone:

Father's First Name:

Father's Last Name:

Father's Email Address:

Father's Cell Phone:

Academic Information

School Name:

School Address:

School City:

School State:

School Zip:

School Phone#:

School Fax#:

GPA:

SAT Test Date:

SAT Composite:

ACT Test Date:

ACT Composite:

TOEFL:

Class Rank:

Out Of

Intended Major:

Have you Joined the Eligibility Center?

Eligibility ID:

Club Information

Club Name:

Club Address:

Club City:

Club State:

Club Zip:

Club Coach:

Club Coach Cell:

Club Coach Office:

Club Coach Home:

Club Coach Email:

Athletic Information

Height

Goals:
Assists:
G.K. Save %
Shutouts
Other College Choices
Years on Varsity Team
Mile Time
Other Sports Played

Tournaments Attending
USA Futures participant?
Camps Attended

Positions

Field Hockey

2015

2016

When you have completed this questionnaire please click submit questionnaire.

Club Name:

Team Name:

Coach Last Name:

State:

City: