Questionnaire

Field Hockey

Please print out form and return it to:

Head Coach Jodi Cipolla
Women's Field Hockey Office
Endicott College
376 Hale Street
Beverly, MA 01915

Name: ______________________________ Height: ________ Weight: _______

Address: _____________________________ City, State, Zip: ________________________

Phone: (______)_________________ E-mail Address: ___________________________

Parents Names: ____________________________________________________

ACADEMIC INFORMATION

High School: ________________________________ Graduation Date: ____________

Class Rank: ___________ SAT Scores: (M): _________ (CR): _______ (W): _______

Grade Point Average: _____________ Prospective Major:______________________

Class Activities and Organizations: __________________________________________

_______________________________________________________________________

FIELD HOCKEY INFORMATION

Coaches Name:____________________________ Phone: (_____)_______________

Position: ________________________ Are Tapes Available?: ________

Goals: _______ Assists: _______ Save % (GK): _______ Shut Outs (GK): _________

Athletic Honors: ___________________________________________________________

Club Team: _____________________ Coach: ________________ Jersey #: ________

Camps/Tournament Participation: ____________________________________________

_______________________________________________________________________

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: ____________

Best days and times to call you: ________________________________