Form must be filled out completely to be eligible for entry.
Student-Athlete Full Legal Name
Today's Date
Student ID (M#)
Date of Birth
Sport(s)
Permanent Address
Permanent Phone Number
Cell Phone
Primary email
Emergency Address
Emergency Phone Number
ATHLETIC HISTORY
Name of High School
Date Graduated
City, State
List ALL schools attended AFTER high school and note what years you were there, full or part-time status, and whether or not you received athletics aid from that school:
HOUSING INFORMATION
Please provide the address at which you will reside during the school year:
Roommate Names(s)
If you will be living off campus, please indicate:
Rent per month $
Name of landlord/apartment complex
AUTOMOBILE INFORMATION
NCAA Bylaw 16.02.3 "Extra Benefits" Prohibited
This form, if authorized by you, permits the University of Cincinnati to examine automobile related records to ascertain their accuracy and to ensure that the NCAA's extra benefit legislation has not been compromised. An extra benefit is any special arrangement by an institutional employee or a representative of the institution's athletics interests to provide a student-athlete or the student-athlete's relative or friend a benefit not expressly authorized by NCAA legislation. Receipt of a benefit by student-athletes or their relatives or friends is not a violation of NCAA legislation if it is demonstrated that the same benefit is generally available to the institution's students or their relatives or friends or to a particular segment of the student body (e.g., foreign students, minority students) determined on a basis unrelated to athletics ability.
Do you have use of (possession regardless or ownership) any automobile during the academic year?
Yes
No
If yes, please proide the following information:
Automobile Description (Year/Make/Model)
License Plate Number and State
Who owns the automobile?
From whom (Individual or Dealership) was the automobile purchase or leased?
When was the automobile purchased?
Was any athletic staff member, UC booster, or UC alumnus involved in assisting or arranging the purchase or lease?
Yes
No
If yes, please identify the individual
Is the automobile paid off?
Yes
No
If no, who is making payments and what is their relationship to you?
Is the automobile insured?
Yes
No
If yes, who is making payments and what is their relationship to you?
By checking the box and typing my name below, I certify that, to the best of my knowledge, the above information is accurate and correct. I give the University of Cincinnati permission to examine automobile related records to ascertain their validity and to ensure that the NCAA's extra benefit legislation has not been compromised.
Yes
No
Type Name
STUDENT-ATHLETE DECLARATION OF OUTSIDE FINANCIAL SOURCES
NCAA rules requires that all student-athletes report any form(s) of financial assistance other than that contained in their institutionally approved financial aid package or that provided by parent(s) or legal guardian(s). Examples of outside financial aid include but are not limited to: National Merit Scholarship $2000; Rochester Alumni Association $500; High School Booster Club $100. Federal aid awarded via the FAFSA is not considered outside financial aid (e.g. Pell Grant, Stafford Loans, etc.), nor is any University scholarship (e.g. Cincinnatus).
By checking the box and typing my name below I grant the University of Cincinnati and its representatives and agents permission to access all personal information, records, and documentation related to all sources of financial aid that are not provided by my parents and/or legal guardians. I understand that failing to disclose all sources of financial aid may result in my ineligibility for intercollegiate competition.
I have received, or I expect to receive an outside financial aid award issued to me for the 2010-11 academic year to further my college education. (If you indicate NO, skip the rest of this form and type your name at the end. If you indicate YES, complete the rest of the form).
Yes, I have received (or will receive) an outside financial aid award this year.
No, I have not received (nor will I receive) an outside financial aid award this year.
If yes, please provide the following information:
Source/Name of Scholarship or Award (List ALL) and Amount (Example: rotary Club Scholarship: $3,000)
Where was the scholarship award/funds sent to? (you, your parents, UC, etc.)
By checking the box and typing my name below, I hereby affirm that the above and foregoing Declaration of Outside Financial Aid form is true and correct to the best of my knowledge and recollection.
Yes, I agree
No, I disagree
Type Name
STUDENT-ATHLETE ACADEMIC YEAR EMPLOYMENT DECLARATION FORM
NCAA Bylaw 15.2.7 states that earnings from a student-athlete's on- or off-campus employment that occurs at any time is exempt and is not counted in determining a student-athlete's cost of attendance or in the institution's financial aid limitations, provided: (a) The student-athlete's compensation does not include any compensation for value or utility that the student-athlete may have for the employer because of the publicity, reputation, fame or personal following that he or she has obtained because of athletics ability; (b) The student-athlete is compensated only for work actually performed; and (c) The student-athlete is compensated at a rate commensurate with the going rate in that locality for similar services. However, before a University of Cincinnati student-athlete may secure employment and begin working, the form below must be completed in its entirety and submitted to the UC Compliance Office for approval. No student-athlete may have a job during the academic year before receiving approval from the Compliance Office. Failure to obtain approval could result in the temporary or permanent loss of athletic eligibility.
Check one of the boxes below:
Yes, I will be seeking on- or off-campus employment opportunities that meets the conditions of NCAA Bylaw 15.2.7 for the upcoming academic year and request approval from the Compliance Office.
No, I will not be seeking any on- or off-campus employment opportunities for the upcoming academic year. {Please note, if you check the No box and subsequently decide to seek employment opportunities for this academic year, you must contact the Compliance Office before agreeing to any employment arrangement.
If yes, please provide the following information:
Employer Name
What is your job title?
What is your supervisor's name?
What date do you start?
What date will your employment end?
What is your rate of pay?
How many hours do you work per week?
Give a brief description of your job duties/responsibilities
By checking the box and typing your name below, the student-athlete and his/her employer/supervisor named above, agree that:
- The student-athlete may not receive any compensation or pay for the value or utility that the student-athlete may have for the employer because of the publicity, reputation, fame or personal following he/she obtained because of athletics ability;
- The student-athlete is to be compensated only for work actually performed;
- The student-athlete is to be compensated at a rate commensurate with the going rate in the locality for similar services; and
- The employer and student-athlete will make available for review and inspection, by an authorized representative of the NCAA, the BIG EAST Conference or University of Cincinnati, copies of all documents, earnings statements and other records related to the student-athlete's employment.
Yes, I agree
No, I disagree
Type Name
STUDENT-ATHLETE SUMMER EMPLOYMENT DECLARATION FORM
Check one of the boxes below:
Yes, I had a summer job this past summer
No, I did not have a summer job this past summer
If yes, please provide the following information:
Employer Name
What was your job title?
What was your supervisor's name?
When did you begin working there?
When did your employment end?
What was your rate of pay?
How many hours did you work per week?
Give a brief description of your job duties/responsibilities
To the best of your knowledge, was your employer or the person who assisted you in finding employment a University of Cincinnati employee, alumnus, booster, staff member, or coach?
Yes
No
If you checked "Yes" above, please provide their name and affiliation with UC
By checking the box and typing your name below, the student-athlete named above affirms that:
- I did not receive any compensation or pay for the value or utility that I may have for the employer because of the publicity, reputation, fame or personal following I may have obtained because of my athletics ability;
- I was only compensated for work actually performed;
- I was compensated at a rate commensurate with the going rate in the locality for similar services; and
- I will make available for review and inspection, by an authorized representative of the NCAA, the BIG EAST Conference or University of Cincinnati, copies of all documents, earnings statements and other records related to my employment and hereby give my permission to the above named employer to produce such records upon request.
Yes, I agree
No, I disagree
Type Name
INCOMING FRESHMAN QUESTIONS
The questions below are for incoming freshmen only.
Have you received any correspondence from the ACT or SAT challenging the validity of your test score?
Yes
No
Type Initials
Are all of the answers that you provided on the amateurism questionnaire still true since you requested final certification from the Eligibility center?
Yes
No
Type Initials
UNIVERSITY HAZING POLICY
- The following hazing policy was adopted by the university.
- The laws of the State of Ohio concerning hazing shall be observed.
that creates a substantial risk of causing mental or physical harm to any person. A forced or coerced activity shall also be considered hazing when the initiation or admission into, or continued affiliation with, a university organization is directly or indirectly conditional upon performing that activity. In no event shall the willingness of an individual to participate in such activity serve as a defense in cases of hazing.
- Actions and activities which are explicitly prohibited include, but shall not be limited to, the following:
- Any activity that creates a substantial risk of physical or mental harm to the individual.
- Paddling, beating, or hitting individuals.
- Wearing anything designed to be degrading or to cause discomfort.
- Depriving individuals of the opportunity for obtaining a minimum of six hours of sleep per day, or proper and adequate means, or access to means, of maintaining body cleanliness.
- Activities that interfere with an individual's academic efforts by causing exhaustion, or loss of reasonable study time.
- Use of drugs.
- Eating or drinking foreign or unusual substances, including alcohol, or anything an individual chooses not to eat or drink.
- Having any object or substance thrown at, poured on, attached to or otherwise applied to the bodies of individuals.
- Any activity or game that makes an individual the object of amusement, ridicule, or intimidation or which causes the individual to be degraded or humiliated.
- Kidnapping, transporting and/or stranding anyone.
- Interrogations or audible stress such as yelling or loud noises.
- Activities which are illegal such as theft or public indecency.
- Activities which are contrary to the policies and rules of the university.
Any violation of this policy shall be handled through the student organizations and activities office. Possible violations of the state hazing laws will be reported to civil authorities for prosecution. Hazing is a criminal offense in Ohio. Sanctions shall include a reprimand, probations, suspension, dismissal or other disciplinary sanctions.
By checking the box and typing my name below:
- I am verifying that I have read, understand and agree to be bound by the Hazing policy.
- I further verify that all activities sponsored, conducted or required by my team, in whole or in part, do/will comply with the policy.
- Failure of my team, in whole or in part, to uphold this policy will result in disciplinary actions which may include (but not limited to) suspension of an individual or individuals from practice and/or competition, forfeiture of a competition or competitions, dismissal of an individual or individuals from the team or the university.
Yes, I agree
No, I disagree
Type Name
OFFICIAL VISIT STUDENT HOST POLICY
Serving as a student host is a critical function to the University of Cincinnati Department of Athletics that carries with it important responsibilities. Appropriate conduct is required of you by UC and NCAA standards.
NCAA Bylaws and Athletic Department policies require you to abide by the following rules:
- Conduct yourself in a manner that represents yourself, your team, and your University in a positive way.
- Do not transport the prospect more than 30 miles from campus.
- Do not allow in-person recruiting conversations between the prospect and a booster of the University of Cincinnati. (NOTE: If an unplanned meeting occurs, an exchange of greeting is permissible, but in a polite manner do not allow the conversation to go beyond a greeting).
- You may not use an automobile for the prospect or for yourself that has been provided by the University or a University booster.
- You cannot purchase or provide alcohol or drugs for PSA, even if they are of legal drinking age.
- You cannot consume alcohol or take drugs while performing hosting duties during the visit, even if you are of legal drinking age.
- You cannot arrange and/or use host money for sexual encounters or adult entertainment for the PSA.
- You may not take the PSA to casinos or participate in any other gambling/gaming activity (e.g. horse racing).
- You or the PSA shall not participate in any activity that violates criminal law, including but not limited to assault and battery, underage drinking, and contributing to the delinquency of a minor.
- You may receive a maximum of $30 per day for a prospect (maximum $60). The thirty dollars is one-half for you and one-half for the prospect and is intended to cover the actual costs of entertainment. If you are hosting more than one prospect, you will receive $15 per day for each prospect after the first.
- A partial or nonqualifier may not serve as a student host.
Student host must keep all receipts and give the unused money and receipts to their coach.
By checking the box and typing my name below, I certify that I have read, understand and will abide by the Official Visit Student Host Policy.
Yes, I agree
No, I disagree
Type Name
COMPLIANCE STATEMENT
I certify to the best of my knowledge that I am eligible for athletic participation under the rules and regulations governed by the NCAA. I also attest to the fact that I was not recruited contrary to NCAA regulations by the University of Cincinnati or any representative of its athletic interests. Furthermore, I am not aware of any violation of NCAA rules involving me and/or my institution.
Yes, I agree
No, I disagree
Type Name
BY CHECKING THE BOX AND TYPING MY NAME BELOW, I HEREBY AFFIRM THAT I HAVE READ, UNDERSTAND, AND AGREE TO BE BOUND BY THE FOLLOWING BIG EAST/UC/NCAA FORMS THAT I HAVE JUST COMPLETED ONLINE:
- PERSONAL INFORMATION
- AUTOMOBILE INFORMATION
- DECLARATION OF OUTSIDE FINANCIAL AID SOURCES
- EMPLOYMENT DECLARATION
- UNIVERSITY HAZING POLICY
- OFFICIAL VISIT STUDENT HOST POLICY
Yes, I agree
No, I disagree
Type Name
