Recruitment

If you are interested in becoming a Nipissing Laker please complete the following form. Thank You.

Required fields are marked with an asterisk (*)

Men's Hockey Recruitment Form

Full Name *

Home Address Street

Home Address City

Home Address State Or Province

Home Address Postal Code

Home Address Country

Home Phone

Other Phone

Fax Number

E-Mail *

Birthday

Area of Academic Interest

What do you wish to study?

Current Academic Year

Last Reported Cumulative GPA

Intended Year of Graduation

Application Status

Have you applied, or will you apply to Nipissing University

Other Universities

To what other universities have you applied, or will you apply to?

Name of High School

HS Province/State

HS Coach's Name

HS Coach's Phone

HS Coach's Email

Athletic Honours

Other Sports Played

Name of Club

Club Province/State

Club Coach's Name

Club Coach's Phone

Club Coach's Email

Shoots

Left

Right

Positions Played

Left Wing

Right Wing

Left Defense

Right Defense

Centre

Goalie

High School Team # of Years

Major JR # of Years

Tier 2 JR # of Years

JR B # of Years

JR C # of Years

Playing Strengths

Men's Ice Hockey

Lakers Athletics

BECOME A NIPISSING LAKER TODAY!

Recruitment