Assistant Athletic Director for Compliance Indiana State
INDIANA STATE UNIVERSITY ATHLETICS STUDENT-ATHLETE EMPLOYMENT DECLARATION FORM
Sport
ISU ID # 991-
Student Athlete Name
NCAA STUDENT-EMPLOYMENT RULES NCAA Bylaw 15.2. 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. They may also be employed as a coach of any group that includes prospective student athletes only if he/she does not recruit any prospective student athlete while serving in such a capacity. However, before an Indiana State University student-athlete may secure employment and begin working, the form below must be completed in its entirety and submitted to the ISU 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. THIS IS A TWO PAGE DOCUMENT. STUDENT ATHLETE, COACH AND EMPLOYER MUST REVIEW AND ACKNOWLEDGE BY SIGNATURE ALL NCAA RULES PERTAINING TO AMATEURISM AND THE USE OF A STUDENT ATHLETE'S NAME, IMAGE OR LIKENESS IN ANY WAY WHATSOEVER DURING THE COURSE OF EMPLOYMENT AND DURING THE TIME THE EMPLOYEE REMAINS AN NCAA STUDENT ATHLETE. PART I: TO BE COMPLETED BY ALL STUDENT ATHLETES Check ONE of the following boxes: 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. (If you check Yes, you must complete Part II and III of this form.) 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.} PART II: EMPLOYMENT INFORMATION Employer Name
Job Title
Employer Address
Supervisor Name
Employment Start Date
Employment End Date
Rate of Pay
Avg hours per week
Brief Job Description/Duties
PART III-STATEMENT OF COMPLIANCE To Be Completed by Student-Athlete and Employer/Supervisor By signing this statement, 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 Missouri Valley/Gateway Conference or Indiana State University, copies of all documents, earnings statements and other records related to the student-athlete's employment. Student Athlete Signature: ___________________________ Date ________________
Employer/Supervisor Signature: _______________________ Date ________________ Compliance Approval Signature: _______________________ Date ________________ PLEASE RETURN COMPLETED FORM TO: Assistant Athletic Director for Compliance Indiana State University Arena, Room 104E, Fax: 812-237-4086 or email: [email protected]
ADDITIONAL NCAA STUDENT-EMPLOYMENT RULES NCAA Bylaw 12.4.4 - Self-Employment. A student-athlete may establish his or her own business, provided the student-athlete's name, photograph, appearance or athletics reputation are not used to promote the business. NCAA Bylaw 12.5.2.1 - Advertisements and Promotions After Becoming a Student-Athlete. After becoming a student-athlete, an individual shall not be eligible for participation in intercollegiate athletics if the individual: (a) Accepts any remuneration for or permits the use of his or her name or picture to advertise, recommend or promote directly the sale or use of a commercial product or service of any kind; or (b) Receives remuneration for endorsing a commercial product or service through the individual's use of such product or service. NCAA Bylaw 12.5.1.3 - Continuation of Modeling and Other Non-athletically Related Promotional Activities After Enrollment. If an individual accepts remuneration for or permits the use of his or her name or picture to advertise or promote the sale or use of a commercial product or service prior to enrollment in a member institution, continued remuneration for the use of the individual's name or picture (under the same or similar circumstances) after enrollment is permitted without jeopardizing his or her eligibility to participate in intercollegiate athletics only if all of the following conditions apply: (a) The individual's involvement in this type of activity was initiated prior to his or her enrollment in a member institution; (b) The individual became involved in such activities for reasons independent of athletics ability; (c) No reference is made in these activities to the individual's name or involvement in intercollegiate athletics; (d) The individual does not endorse the commercial product; and (e) The individual's remuneration under such circumstances is at a rate commensurate with the individual's skills and experience as a model or performer and is not based in any way upon the individual's athletics ability or reputation. Student Athlete Signature: ___________________________ Date ________________
Employer/Supervisor Signature: _______________________ Date ________________ Head Coach Signature: ______________________________ Date ________________ Compliance Approval Signature: _______________________ Date ________________
Sport
ISU ID # 991-
Student Athlete Name
NCAA STUDENT-EMPLOYMENT RULES NCAA Bylaw 15.2. 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. They may also be employed as a coach of any group that includes prospective student athletes only if he/she does not recruit any prospective student athlete while serving in such a capacity. However, before an Indiana State University student-athlete may secure employment and begin working, the form below must be completed in its entirety and submitted to the ISU 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. THIS IS A TWO PAGE DOCUMENT. STUDENT ATHLETE, COACH AND EMPLOYER MUST REVIEW AND ACKNOWLEDGE BY SIGNATURE ALL NCAA RULES PERTAINING TO AMATEURISM AND THE USE OF A STUDENT ATHLETE'S NAME, IMAGE OR LIKENESS IN ANY WAY WHATSOEVER DURING THE COURSE OF EMPLOYMENT AND DURING THE TIME THE EMPLOYEE REMAINS AN NCAA STUDENT ATHLETE. PART I: TO BE COMPLETED BY ALL STUDENT ATHLETES Check ONE of the following boxes: 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. (If you check Yes, you must complete Part II and III of this form.) 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.} PART II: EMPLOYMENT INFORMATION Employer Name
Job Title
Employer Address
Supervisor Name
Employment Start Date
Employment End Date
Rate of Pay
Avg hours per week
Brief Job Description/Duties
PART III-STATEMENT OF COMPLIANCE To Be Completed by Student-Athlete and Employer/Supervisor By signing this statement, 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 Missouri Valley/Gateway Conference or Indiana State University, copies of all documents, earnings statements and other records related to the student-athlete's employment. Student Athlete Signature: ___________________________ Date ________________
Employer/Supervisor Signature: _______________________ Date ________________ Compliance Approval Signature: _______________________ Date ________________ PLEASE RETURN COMPLETED FORM TO: Assistant Athletic Director for Compliance Indiana State University Arena, Room 104E, Fax: 812-237-4086 or email: [email protected]
ADDITIONAL NCAA STUDENT-EMPLOYMENT RULES NCAA Bylaw 12.4.4 - Self-Employment. A student-athlete may establish his or her own business, provided the student-athlete's name, photograph, appearance or athletics reputation are not used to promote the business. NCAA Bylaw 12.5.2.1 - Advertisements and Promotions After Becoming a Student-Athlete. After becoming a student-athlete, an individual shall not be eligible for participation in intercollegiate athletics if the individual: (a) Accepts any remuneration for or permits the use of his or her name or picture to advertise, recommend or promote directly the sale or use of a commercial product or service of any kind; or (b) Receives remuneration for endorsing a commercial product or service through the individual's use of such product or service. NCAA Bylaw 12.5.1.3 - Continuation of Modeling and Other Non-athletically Related Promotional Activities After Enrollment. If an individual accepts remuneration for or permits the use of his or her name or picture to advertise or promote the sale or use of a commercial product or service prior to enrollment in a member institution, continued remuneration for the use of the individual's name or picture (under the same or similar circumstances) after enrollment is permitted without jeopardizing his or her eligibility to participate in intercollegiate athletics only if all of the following conditions apply: (a) The individual's involvement in this type of activity was initiated prior to his or her enrollment in a member institution; (b) The individual became involved in such activities for reasons independent of athletics ability; (c) No reference is made in these activities to the individual's name or involvement in intercollegiate athletics; (d) The individual does not endorse the commercial product; and (e) The individual's remuneration under such circumstances is at a rate commensurate with the individual's skills and experience as a model or performer and is not based in any way upon the individual's athletics ability or reputation. Student Athlete Signature: ___________________________ Date ________________
Employer/Supervisor Signature: _______________________ Date ________________ Head Coach Signature: ______________________________ Date ________________ Compliance Approval Signature: _______________________ Date ________________
