Shippensburg University Athletics - Field Hockey Recruiting Form

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PSAC

I Chose Division II

DII Game Environment

Field Hockey Recruiting Form

To those interested in playing field hockey at Shippensburg University, please fill out the following questionnaire.

A copy of its receipt will be sent to the coaching staff.

FIRST NAME: *
LAST NAME: *
CLEARINGHOUSE NUMBER: *
STREET ADDRESS: *
CITY: *
STATE: *
ZIP CODE: *
HOME PHONE: *
CELL PHONE:
EMAIL ADDRESS: *
DATE OF BIRTH: *
Parent/Guardian Information:
FATHERS NAME: *
WORK PHONE:
CELL PHONE:
OCCUPATION:
COLLEGE ATTENDED:
MOTHERS NAME: *
WORK PHONE:
CELL PHONE:
COLLEGE ATTENDED:
OCCUPATION:
SIBLINGS: *
Schooling Information:
SCHOOL NAME: *
SCHOOL ADDRESS: *
CITY: *
STATE: *
ZIP CODE: *
SCHOOL PHONE: *
EXPECTED DATE OF GRADUATION: *
GUIDANCE COUNSELOR: *
PHONE: *
COACH: *
PHONE: *
Academic Information:
GRADE POINT AVERAGE: *
CLASS RANK: *
S.A.T. - TOTAL SCORE: *
S.A.T. - MATH: *
S.A.T. - VERBAL: *
S.A.T. - CRITICAL READING: *
P.S.A.T. - TOTAL SCORE:
ACADEMIC HONORS:
ACADEMIC MAJORS YOU ARE INTERESTED IN:
DO YOU HAVE AN APPLICATION TO SHIPPENSBURG UNIVERSITY? *	YesNo
HAVE YOU BEEN ACCEPTED TO SHIPPENSBURG? *	YesNo
HAVE YOU COMPLETED AND MAILED THE NCAA CLEARINGHOUSE INFORMATION?	YesNo
IF YES, WHAT DATE DID YOU SUBMIT YOUR INFORMATION TO NCAA?
Athletic Information:
HEIGHT: *
POSITION: *
UNIFORM NUMBER: *
YEARS PLAYED AT VARSITY: *
LEAGUE/CONFERENCE: *
DO YOU HAVE A VIDEO AVAILABLE?	YesNo
HAVE YOU PLAYED AT THE NATIONAL HOCKEY FEST?	YesNo
OTHER SPORTS PLAYED:
AWARDS/RECOGNITIONS:
INDOOR/TOURNAMENT EXPERIENCE:
ANY ADDITIONAL INFORMATION:

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