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Student Athlete Compliance Form

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Student Name
Gender
Address
Parent/Guardian Name:
Sport
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PLAYER PHOTO HEADSHOT *
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PLAYER STATE IDENTIFICATION (DL or ID)
I acknowledge I read and understand the PCCS provided.
I acknowledge I read and understand the NPGAA Precondition Eligibility Statement guidelines.
I acknowledge I read and understand the NPGAA Second Term Affidavit.
Sport
(NCAA Eligibility Center: https://web3.ncaa.org/ecwr3) All student athletes seeking to participate within the NPGAA must provide a valid NCAA ID for eligibility verification.
Are You a United States Citizen or a Permanent Resident?
Are you on another type of VISA? (Exp: I-20, Victors Vis, Exchange Student)
Address
Did you Graduate?
Graduation credentials received?
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Please upload a Photocopy of your High School Diploma or GED Certificate:
Did you take any college credit classes while in high school?
Have you ever played in a college game?
Please provide which sports you participated in?
Have you ever been redshirted for a season at a college or university?
Have you ever participated in practices/tryouts/exhibitions/scrimmages/games for an inter collegiate team other than this college?
Have you ever played on a club team at a college or university?
Have you ever taken any college classes on a full-time basis?
Have you ever dropped or withdrew from any college classes?
Have you ever participated in a college sport in a country other than the United States?
All transcripts from all previous institutions must be included. If no school attended place a N/A in the blank space provided.
Status:
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All transcripts from all previous institutions must be included.
I acknowledge I read and understand the HIPAA/FERPA uses and Disclosures of Student-Athlete Protected Information?