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Lawrence University
Hockey Questionnaire

Name:
D.O.B.:
Address: 
City:    State/Province:   Zip/Postal Code:
E-mail: 
Phone:    Best time to call:
School/Host/Billet Phone (if different): 
School/Host/Billet Address (if different): 
Address: 
City: 
State/Province: 
Zip/Postal Code: 
Current Team:
Pts:Goals: Assists:
Height: Weight: Position:
Shot Right: Shot Left:
Honors / Awards for Hockey:
Other Sport interest for college:
Coach's Name: Phone:
Graduation Date:
Class Rank: in a class of 
  GPA:   *ACT   * SAT-r  
* SAT-m *SAT-W
Have you visited Lawrence yet?  
 If no, are you interested in visiting?
Other colleges you are interested in:
Questions or Comments:
Today's Date:

* Lawrence University does not require standardized test scores (ACT or SAT) for admission. If you feel your high school record is the best indicator of your academic potential, you do not need to submit a test score. If you feel that your test score supports your academic record and/or indicates potential not reflected in your grades or curriculum, please submit your scores.