Glenville State College Athletic Compliance Office
Glenville State College Athletic Compliance Office Official Visit Form Complete the form and submit to the Compliance Office for approval. Signatures are required prior to the prospect arriving on campus. Once approved the form will be sent back to the Head coach. This form needs to be kept in your recruiting log. Prospect Name: __________________________________________ NCAA ID#:____________________________________ Mailing Address: _______________________________________________________________________________________ Street Address City State Zip Code E-mail Address: Sport:
_____________________________________ Phone#: _________________________________________
____________________________________________
High School: ______________________________________
Proposed Date of Visit: ________________________________ Date of Birth: _____________________________________ COACHES CHECKLIST: Complete this checklist before submitting for approval Prospective Student Athlete (PSA) Status:
High School
JUCO
4-Yr. Transfer
International
Date the prospect plans to visit is permissible If conduction a tryout, the date complies with tryout bylaws PSA has registered with NCAA Eligibility Center PSA is listed on Glenville State IRL with the NCAA Eligibility Center A copy of the PSA’s transcript is on file with admissions and is attached to this request High School transcript evaluated for Initial Eligibility requirements (If Necessary) College Transcript(s) evaluated by Academic Certifier & Compliance Office Permission to Contact is granted and is on file (4-4 Transfers) – School Name: ________________________________ Prior to participation in a tryout a prospective PSA must have had a physical exam within the past 6 months, and provide a copy to you for your records. The exact date must be within the past 6 months. The Sickle Cell Solubility Test is also required. There is a waiver form to decline the Sickle Cell Solubility Test, but not the Physical Examination.
To be completed after visit (Visit NOT to exceed 48 hours) Date/Time Arrival: ______________________________
Date/Time Departure: _________________________________
Transportation paid: Automobile Airplane Bus Other PSA’s friends or relatives may receive cost-free transportation to campus if accompanying the PSA in automobile only. I provided the PSA with ________ Complementary Admissions to a campus athletics event. (Maximum of 3) Entertainment, Meals, & Lodging: All receipts will be filed with this form in your recruiting log. Entertainment, Meals & Lodging may only be provided for the PSA’s relatives / legal guardians. (3 meals/day limit) Lodging: _____________________________________ For the Compliance Office: ACT/SAT Score: Transcript Received:
Coach’s Signature
Yes Yes
No No
Student Host Name: ________________________________________
Permissible Time Period: IRL Activated: Transfer Release: Transcript Received: Approval of Visit Date: _____________________
Yes Yes Yes Yes Yes
No No No No No
Compliance Office Signature
N/A
_____________________________________ Phone#: _________________________________________
____________________________________________
High School: ______________________________________
Proposed Date of Visit: ________________________________ Date of Birth: _____________________________________ COACHES CHECKLIST: Complete this checklist before submitting for approval Prospective Student Athlete (PSA) Status:
High School
JUCO
4-Yr. Transfer
International
Date the prospect plans to visit is permissible If conduction a tryout, the date complies with tryout bylaws PSA has registered with NCAA Eligibility Center PSA is listed on Glenville State IRL with the NCAA Eligibility Center A copy of the PSA’s transcript is on file with admissions and is attached to this request High School transcript evaluated for Initial Eligibility requirements (If Necessary) College Transcript(s) evaluated by Academic Certifier & Compliance Office Permission to Contact is granted and is on file (4-4 Transfers) – School Name: ________________________________ Prior to participation in a tryout a prospective PSA must have had a physical exam within the past 6 months, and provide a copy to you for your records. The exact date must be within the past 6 months. The Sickle Cell Solubility Test is also required. There is a waiver form to decline the Sickle Cell Solubility Test, but not the Physical Examination.
To be completed after visit (Visit NOT to exceed 48 hours) Date/Time Arrival: ______________________________
Date/Time Departure: _________________________________
Transportation paid: Automobile Airplane Bus Other PSA’s friends or relatives may receive cost-free transportation to campus if accompanying the PSA in automobile only. I provided the PSA with ________ Complementary Admissions to a campus athletics event. (Maximum of 3) Entertainment, Meals, & Lodging: All receipts will be filed with this form in your recruiting log. Entertainment, Meals & Lodging may only be provided for the PSA’s relatives / legal guardians. (3 meals/day limit) Lodging: _____________________________________ For the Compliance Office: ACT/SAT Score: Transcript Received:
Coach’s Signature
Yes Yes
No No
Student Host Name: ________________________________________
Permissible Time Period: IRL Activated: Transfer Release: Transcript Received: Approval of Visit Date: _____________________
Yes Yes Yes Yes Yes
No No No No No
Compliance Office Signature
N/A
