TEAM ROSTER FORM

TEAM ROSTER FORM 1. COACH

Sport(s)

Complete "Part 1" for all athletes.

Gender

W#

Birth Date ___/___/___

City/ST

HS Graduation Date

Name

M□ F□

Address High School

Recruitment (check all that apply):

1. Two phone calls to PSA, parents, guardians? Y □ N □ 2. Official Visit? Y □ N □ 3. Arranged, in-person off-campus contact? Y □ N □ 4. Issued NLI? Y □ N □

Competition History: Term

Offered Aid? Signed NLI?

Y□N□ Y□N□

Received Athletics Aid (FA), Utilized Season of Competition (C), Redshirted (R), Medical (Med), Mission/Military (MI), Did Not Compete (NC), or List ANY & ALL OTHER

Year

Sport

Institution

COACH SIGNATURE

Competition History

Date Sent to Compliance Office ___/___/___

2. COMPLIANCE OFFICE Initial Eligibility 1st F/T any Inst. F □ S □ Yr_____

Notes IEC Status Q □ N □

Date Rec'd ___/___/___

HS Core GPA Waiver(s) Submitted

Amat. Cert.

HS General GPA ___/___/___

1st F/T WSU F □ S □ Yr_____

ACT / SAT Score

Type

Rec'd ___/___/___

NCAA Doc.

Y□N□

48C on File

Y□N□

Input CA

Y□N□

Transfer Students Transfer Institution

Midyear

Y□N□

Transcript(s) Received

Y□N□

Transfer Type

Permission to Contact Y □ N □ N/A □ Residency Requirement Met Y □ N □ N/A □

Year in Residence from

Transfer Exception Met (type)

to Documents Received

Y□N□

Comments Student Entered CA:

Date/Initials ___/___/___ _____

3. FACULTY ATHLETICS REPRESENTATIVE Final Certification Comp. Seasons Used

Remaining

5 Yr Clock Used

Practice Approved

Y□N□

Certifying Date

___/___/___

Athletic Aid Approved

Y□N□

Certifying Date

___/___/___

Competition Approved

Y□N□

Certifying Date

___/___/___

Remaining

FAR Initials

Comments Created by Erica Fryer, Spring 2008

Page 1 of 2

4. ELIGIBILITY OFFICE Name

Q □ NQ □ Pending □

W#

Flagged Y□N□

12 hr min. set Conc. Enrol.

F□S□

YR

Current Hours Enrolled

st

1 FT Semester

Y□N□

Y□N□Y□N□

CONTINUING WSU STUDENTS NCAA Standing (yr): 1 2 3 4 5 G

CGPA

Rules Met Y □ N □

# FT Sem ___

TRANSFER STUDENTS NCAA Standing (yr): 1 2 3 4 5 G

CGPA _____

Artic.

Y□N□

Previous F/T Semester Information/Standards 1. F □ S □ YR ___

Institution

2. F □ S □ YR ___

Institution

3. F □ S □ YR ___

Institution

4. F □ S □ YR ___

Institution

5. F □ S □ YR ___

Institution

6. F □ S □ YR ___

Institution

7. F □ S □ YR ___

Institution

8. F □ S □ YR ___

Institution

JC TRANSFER

□ □ □ □ □

2-4 QUALIFIER 2.0 Cumulative GPA 12 Hrs/Term of Transferable Deg. Credit 6 Hrs Previous Term One Full-Time Semester at JC Not a Mid-Year Basketball Enrollee

□ □ □ □ □ □ □

2-4 NONQUALIFIER AA/AS Degree Date ___/___/___ 48 Hrs Transferable Degree Credit 3 Terms 6 Hrs Previous Term Not a Mid-Year Basketball Enrollee 25% of AA from Graduating Institution

Less Than 18 Hrs Summers/Less Than 9 Hrs Previous Summer □ 3 Math/6 Engl if attended after Fall 09 (or 3/3)

4 YEAR

4-4 □ Documentation of Transfer Type (Compliance Office)

□ □ □ □

4-2-4 12 Hrs/Term from 2 Year Institution 2.0 GPA from 2 Year Institution One Calendar Yr Since 4 Yr Enrollment AA/AS Degree Date ___/___/___

Program of Study (POS) Declared

Y□N□

Declaration ___/___/___

Degree BA □ BS □ Current Applicable Standards

Major

120 Hrs Req'd for Degree

Minor

40/60/80 PTD Rule

Concentration

2.0 CGPA Required

MJ/MN 2 Comments Student Entered into CA & Flagged:

Date/Initials

___/___/___ _____

Created by Erica Fryer, Spring 2008

Page 2 of 2