HARVARD
WOMEN'S HOCKEY

PERSONAL INFORMATION

FIRST NAME  
LAST NAME  
NICKNAME  
CELL PHONE  
EMAIL  
HEIGHT  
WEIGHT  
DATE OF BIRTH  
PRESENT ADDRESS  
 
PRESENT CITY  
PRESENT STATE/PROVINCE  
PRESENT ZIP  
HOME ADDRESS  
 
HOME CITY  
HOME STATE/PROVINCE  
HOME ZIP  
HOME PHONE  
MOTHER'S FIRST NAME  
MOTHER'S LAST NAME  
MOTHER'S EMAIL  
MOTHER'S CELL  
FATHER'S FIRST NAME  
FATHER'S LAST NAME  
FATHER'S EMAIL  
FATHER'S CELL  

ACADEMIC INFORMATION

HS NAME  

HS ADDRESS  
 
HS CITY  
HS STATE  
HS ZIP  
CLASS RANK  
GRADE POINT AVERAGE  
ACT COMPOSITE  
SAT VERBAL  
SAT MATH  
SAT WRITING  
SAT II SUBJECT TEST 1  
SAT II SUBJECT TEST 2  
SAT II SUBJECT TEST 3  
HAVE YOU REGISTERED WITH THE NCAA CLEARINGHOUSE?  
CLEARINGHOUSE #  
COUNSELOR FIRST NAME  
COUNSELOR LAST NAME  
COUNSELOR'S PHONE  
COUNSELOR'S EMAIL  

ATHLETIC INFORMATION

PRESENT TEAM  
POSITION  
SHOOT/CATCH  
COACH'S FIRST NAME  
COACH'S LAST NAME  
COACH'S EMAIL  
COACH'S CELL PHONE  
COACH'S WORK PHONE  
LAST YEAR'S TEAM  
GAMES PLAYED  
GOALS/W-L  
ASSISTS/GAA  

GENERAL INFORMATION

PLEASE LIST THE TOP 3 SCHOOLS YOU ARE INTERESTED IN  
HARVARD ALUMNI AND/OR STUDENTS YOU KNOW  
OTHER SPORTS PLAYED  
PLEASE CERTIFY THAT YOU ARE A HIGH SCHOOL JUNIOR OR SENIOR, OR ARE A CURRENT COLLEGE STUDENT   Yes, it is AFTER September 1st of my Junior year of high school.
No, it is BEFORE September 1st of my Junior year of high school.