Student Athlete Compliance Form

Please enable JavaScript in your browser to complete this form.

Compliance Statement:

you Student-Athlete I

Student Name

First

Middle

Last

Phone

Date of Birth:

Current Age:

Gender

Male
Female

Address

Address Line 1

Address Line 2

City

State

Zip Code

Parent/Guardian Name:

First

Last

Phone:

Current Post Grad Enrolled

State:

Sport

Football
Basketball
Baseball

Verification Statement

File Upload

Click or drag a file to this area to upload.

PLAYER PHOTO HEADSHOT *

File Upload

Click or drag a file to this area to upload.

PLAYER STATE IDENTIFICATION (DL or ID)

NPGAA Student Athlete Pre-Collegiate Commitment Summary

I acknowledge I read and understand the PCCS provided.

Precondition Eligibility Statement

I acknowledge I read and understand the NPGAA Precondition Eligibility Statement guidelines.

NPGAA Second Term Affidavit

I acknowledge I read and understand the NPGAA Second Term Affidavit.

NPGAA Student Eligibility Affidavit

Sport

Football
Basketball

NCAA ID #:

(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)

If you selected "YES" please stated your visa type:

High School Information:

Address

Address Line 1

Address Line 2

City

State

Zip Code

Phone

Did you Graduate?

Yes (If "YES" please upload a copy)
No

Graduation credentials received?

HS Diploma
GED
Certificate of completion

File Upload

Click or drag a file to this area to upload.

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?

(If "YES" please provide the name of the school that you participated in sports competition. If none (N/A)

Please provide which sports you participated in?

Football
Basketball
Never Have

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?

(If "YES" please provide the name and state of the college. If none (N/A)

Have you ever dropped or withdrew from any college classes?

If "YES" specify before or after the add/drop period. If none (N/A)

Have you ever participated in a college sport in a country other than the United States?

If "YES" Please provide the country

List ALL College(s) attended Full-Time and/or Part-Time after High School. If none (N/A)

All transcripts from all previous institutions must be included. If no school attended place a N/A in the blank space provided.

Status:

Full-Time
Part-Time
N/A

File Upload

Click or drag a file to this area to upload.

All transcripts from all previous institutions must be included.

Additional Explanations Statement:

Additional Explanations:

PART I: HIPAA/FERPA Uses and Disclosures of Student-Athlete Protected Information Form FAQ’s:

Please confirm your acknowledgment.

PART II: FERPA CONSENT

Please confirm your acknowledgment.

PART III: HIPAA CONSENT

Please confirm your acknowledgment.

I acknowledge I read and understand the HIPAA/FERPA uses and Disclosures of Student-Athlete Protected Information?

NPGAA Student Commitment Agreement

Student-Athlete Statement:

By providing my signature below, I acknowledge I read and understand the information provided by the NPGAA and its affiliates as I seek eligibility to participate within the NPGAA..

Exit mobile version