Athletic Scholarship Request
National Letter of Intent/ Athletic Scholarship Request COACH: This form, when signed by you and approved by the Sport Administrator and the Athletic Compliance Office, allows a National Letter of Intent, Institutional Letter of Intent, and/or Athletic Scholarship to be issued to a prospective student-athlete. The entire form must be completed before the NLI and/or scholarship will be prepared.
_______________________________________________________________________________________________________________________________________ Last Name First Name M.I. _______________________________________________________________________________________________________________________________________ Sport DOB UNI Student ID NCAA Eligibility Center ID _______________________________________________________________________________________________________________________________________ Permanent Street Address City State Zip Code
MATRICULATION STATUS: Freshman
2-Year Transfer
4-Year Transfer (NO NLI)
Current UNI Student
Expected Grad Date? __________
LENGTH OF AWARD: Full Year (Default)
Fall only (must meet exception)
Spring only (must meet exception)
Notes:
Multi-Year Academic Years: 1._______ 2._______ 3._______ 4._______ 5._______
SCHOLARSHIP AMOUNT: Full Scholarship (full scholarship includes tuition, fees, room, board and books) Partial Scholarship (Specific dollar amount or equivalency percentage): __________________ *Award Based on Cost of Attendance? YES
NO
(Includes tuition, fees, room, board, required books, & other expenses included in COA figure)
No Books: Plus Books: Includes Books:
NON-SCHOLARSHIP: Institutional Letter of Intent only (must be accepted for Admission to UNI). METHOD OF DELIVERY to PROSPECT: Email & Scan – email address: ________________________________________
___________________________________
_______________
Signature of Head Coach
Date
__________________________________
_______________
Sport Administrator Approval
Date
___________________________________
_______________
Compliance Office Signature
Date
Compliance Use Only
NCAA EC Database
Revised 10/27/2015
_______________________________________________________________________________________________________________________________________ Last Name First Name M.I. _______________________________________________________________________________________________________________________________________ Sport DOB UNI Student ID NCAA Eligibility Center ID _______________________________________________________________________________________________________________________________________ Permanent Street Address City State Zip Code
MATRICULATION STATUS: Freshman
2-Year Transfer
4-Year Transfer (NO NLI)
Current UNI Student
Expected Grad Date? __________
LENGTH OF AWARD: Full Year (Default)
Fall only (must meet exception)
Spring only (must meet exception)
Notes:
Multi-Year Academic Years: 1._______ 2._______ 3._______ 4._______ 5._______
SCHOLARSHIP AMOUNT: Full Scholarship (full scholarship includes tuition, fees, room, board and books) Partial Scholarship (Specific dollar amount or equivalency percentage): __________________ *Award Based on Cost of Attendance? YES
NO
(Includes tuition, fees, room, board, required books, & other expenses included in COA figure)
No Books: Plus Books: Includes Books:
NON-SCHOLARSHIP: Institutional Letter of Intent only (must be accepted for Admission to UNI). METHOD OF DELIVERY to PROSPECT: Email & Scan – email address: ________________________________________
___________________________________
_______________
Signature of Head Coach
Date
__________________________________
_______________
Sport Administrator Approval
Date
___________________________________
_______________
Compliance Office Signature
Date
Compliance Use Only
NCAA EC Database
Revised 10/27/2015
