Personal Information

First Name:

Last Name:

"Height:

Weight:

Shot:
Left Right
Email:

Phone Number:

Street Address:

City:

Province/State:

Postal Code:

Hockey Career

Position Played:

Hockey Background:
Describe the past three years of your hockey career (teams played for, league, level, stats...)
Hockey Coaches:
Name your coaches for the past three years
Awards and Honours:
Name any hockey awards you have won in your career

Education Information

Education Level:
What level of education have you completed? What Program Interests You?:

University Choices:
Name all the schools you are considering to attend?
Why Lakehead?:
Describe why you would like to study at Lakehead University and be a part of the hockey program