Player Profile Submission

J.D Maciuk Consulting Representative*
Player Name*
First Last
Date Of Birth*
Date Of Birth Year*
Player Email*
Enter Email Confirm Email
Player Phone*
Parent Name*
First Last
Parent Email
Enter Email Confirm Email
Parent Phone*
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Player Information
Please Use High Quality Cropped Images
Show Me Examples
Player Photo 1*
Please upload a minimum of one photo. PLEASE AVOID screenshots, picture of pictures or low quality resolution images.
See Examples
Player Photo 2
Do you have a video link or youtube link to upload?
- Yes
- No
Please Paste the video URL
Current Team*
Team Level*
Major Junior League*
Junior A Tier 1 League*
Junior A Tier 2 League*
Junior B Tier 2 League*
NCAA League*
Junior A Tier 3 League*
Youth Tier 2 League*
Youth Tier 1 League*
Youth Tier I*
Prep School League*
Prep League*
Jr. A League*
Super League*
Youth Tier I U18*
Youth Tier I U16*
Youth Tier I U14*
Tagline*
Write your tagline here - ex: Powerful Shut-Down Defensemen"
Height*
Use Format 5-10 for 5'10
Weight*
Position*
- Forward - Right Wing
- Forward - Left Wing
- Center
- Defense
- Goalie
Shot*
Enter Career Highlights*

Enter each career highlight per line - ie. 2015 USA Hockey Nationals, November 29th 2013 Star of the week midwest division.

Academic Information
Clearing House*
- Yes
- No
Clearing House #*
High School*
High School Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
GPA
ACT Score
SAT Score
Advising Agreement Sheet
In order for J.D.M Consulting to proceed with the services it provides, it is necessary that all parties involved, fully understand the following points:

1. J.D.M. Consulting agrees in accordance with NCAA rules, to provide the Program requested and agreed upon by the parties involved.

2. The fee associated with J.D.M. Consulting full Program package is a flat fee. There are no contingent fees if a scholarship or financial aid package is awarded.

3. The student athlete agrees to indemnify and hold harmless J.D.M. Consulting and any of its agents and officers.

4. J.D.M. Consulting makes no guarantees or promises that a scholarship or financial aid package will be offered by any college or university to which J.D.M. Consulting services are extended.

5. The student athlete agrees to submit to J.D.M. Consulting, a report of any communication with a college or university within two weeks of contact.

6. J.D.M. Consulting will maintain a file on each student athlete in order that the information be provided to various colleges and universities. The file will be maintained and updated. Any changes of address or teams should be forwarded as soon as possible.

7. Once a client has retained JDM services no refunds or pro-rated refunds will be available.
I agree to the following conditions above.*
- I Agree
Signature*

JDM Player Profile

Step 1 of 4

Player Information

Please Use High Quality Cropped Images

See Examples

Resume

Past Team 2

Past Team 3

Academic Information

Advising Agreement Sheet