Endicott College
Ice Hockey Office
376 Hale Street, Beverly, MA 01915

Name: _________________________________________________________________

Address:__________________________________________________________________

Phone:(______)____________________ E-mail Address_________________________

Parents' Names___________________________________________________________

ACADEMIC INFORMATION

High School: __________________________________ Graduation Date: __________

Class Rank: ______________ SAT Scores: (Verbal): _________ (Math): ________

Grade Point Average: ____________ Prospective Major:_______________________

Class Activities and Organizations:

___________________________________________________________________________

ICE HOCKEY INFORMATION

Last Team You Played For___________________________________________________

Coaches Name:______________________________Office Phone: (_____)___________

Position: ________________ Shot:__________ Height: _______ Weight: ________

Are Tapes Available:________

Athletic Honors: __________________________________________________________

ADDITIONAL INFORMATION

Other Sports Played: ____________________________ Positions:_______________

Other schools you are interested in: ______________________________________

Have you visited Endicott:_____________ If so, when:_______________________

Would you like to visit Endicott:__________________________________________

Do you need an admissions application and view book:_______________________

Have you submitted an application for admission?___________________________

Best days and times to call you:___________________________________________