Indiana State University
Weber State University Athletics FOUR-YEAR TRANSFER TRACER FORM From: Will Pridemore, Director of Compliance
Date
To: Athletics Director/
Email/Fax #
The student listed below has initiated contact with our athletics department asking us to seek his/her release from your institution. Pursuant to NCAA Bylaws 13.1.1.3 (Four-Year College PSAs) and 14.5.5.2.10 (One-Time Transfer Exception), this request is sent to your institution for completion and return to my office.
Student-Athlete name Entrance date:
Exit date:
Number full-time:
Total semesters/qtrs. attended:
Please indicate the membership of your institution:
NCAA D1
Sport
NCAA ID
D/O/B
FBS
FCS
NCAA D2
Number part-time: NCAA D3
1. May this student-athlete speak with a member of our athletics staff about the possibility of transferring? 2. Was this student-athlete recruited by your institution? 3. Has this student-athlete transferred FROM any other institution? If YES, please list below: Two-year school:________________________________ Four-year school:__________________________________ Two-year school:________________________________ Four-year school:__________________________________ 4. Is/was this student-athlete in good academic standing at your institution? 5. Would this student-athlete be academically eligible to compete if he/she returned to your institution? 6. Has the student-athlete fulfilled progress-toward-degree requirements? 7. Did the student-athlete satisfactorily complete six (6) hours of degree credit during their last FULL-TIME semester Yes No at your institution? 8. If student athlete is a FOOTBALL participant, did he pass 9 hours of degree credit last fall and earn APR eligibility point?
NAIA
Yes Yes Yes
No No No
Yes Yes Yes
No No No
Yes
No
9. Did this student-athlete sign a National Letter of Intent (NLI) with your institution? Yes No 10. If NLI was signed, has it been satisfied or has a complete release been issued? Yes No 11. Has the student-athlete's amateurism status been finally certified by the Eligibility Center? Yes No 12. Student-athlete's Division I initial-eligibilty status according to the NCAA Eligibility Center: Qualifier Non-Qualifier 1 2 3 4 13. How many seasons of competition has this student used in this sport? Yes No 14. Should the student-athlete qualify, do you object to use of one-time transfer exception? Yes If yes, to where?:________________________ No 15. If known, did the student-athlete transfer TO another school from yours? Yes No 16. Did student-athlete participate in athletic-related activities for more than 14 days? 17. Has this sport been discontinued permanently at your institution? Yes No If yes,please indicate official date:________________________ 18. If your school is an NCAA Division I institution and the student athlete participated in FOOTBALL, has the Yes No student-athlete used the 9-hour rule exception in NCAA Bylaw 14.4.3.1.6.2 during his attendance at your school? 19. Did student athlete receive insitutional financial aid to attend summer school?
Yes
No If Yes,when?:___________________
CHECK IF STUDENT-ATHLETE DID NOT PARTICIPATE IN ATHLETICS OR SPORT IS NOT SPONSORED AT YOUR INSTITUTION Sport
Semester
Year
Participation Status (Check All That Apply) Practice? Compete? Redshirt? Hardship Waiver?
Signature of Person Completing This Form: _________________________________ Contact Phone No. ___________________________
Received INSTITUTIONAL (including athletics) financial aid?
Yes
No
Yes
No
Yes
No
Yes
No
Title: _____________________________________
Email: ___________________________________
Date: _______________
By signing below, the above named student-athlete hereby gives Weber State University academics and athletics representatives permission to contact the above named educational institution and all other educational institutions attended to verify the potential articulation of course work and all other pertinent information pertaining to academic record, athletics participation and financial aid, as is required by the NCAA, Big Sky Conference and Weber State University regulations.
Signature: __________________________________________________________
Date: _______________
Please return this completed form to: Compliance Office, Weber State University, FAX (801) 626-6490 or via e-mail to [email protected]. Questions? Call (801) 626-8552. Thank you! Distribution: Orig-Compliance; Copies: Academic Services, Registrar, Coach; INPUT CA? ______________
Rev. 2/2013
Date
To: Athletics Director/
Email/Fax #
The student listed below has initiated contact with our athletics department asking us to seek his/her release from your institution. Pursuant to NCAA Bylaws 13.1.1.3 (Four-Year College PSAs) and 14.5.5.2.10 (One-Time Transfer Exception), this request is sent to your institution for completion and return to my office.
Student-Athlete name Entrance date:
Exit date:
Number full-time:
Total semesters/qtrs. attended:
Please indicate the membership of your institution:
NCAA D1
Sport
NCAA ID
D/O/B
FBS
FCS
NCAA D2
Number part-time: NCAA D3
1. May this student-athlete speak with a member of our athletics staff about the possibility of transferring? 2. Was this student-athlete recruited by your institution? 3. Has this student-athlete transferred FROM any other institution? If YES, please list below: Two-year school:________________________________ Four-year school:__________________________________ Two-year school:________________________________ Four-year school:__________________________________ 4. Is/was this student-athlete in good academic standing at your institution? 5. Would this student-athlete be academically eligible to compete if he/she returned to your institution? 6. Has the student-athlete fulfilled progress-toward-degree requirements? 7. Did the student-athlete satisfactorily complete six (6) hours of degree credit during their last FULL-TIME semester Yes No at your institution? 8. If student athlete is a FOOTBALL participant, did he pass 9 hours of degree credit last fall and earn APR eligibility point?
NAIA
Yes Yes Yes
No No No
Yes Yes Yes
No No No
Yes
No
9. Did this student-athlete sign a National Letter of Intent (NLI) with your institution? Yes No 10. If NLI was signed, has it been satisfied or has a complete release been issued? Yes No 11. Has the student-athlete's amateurism status been finally certified by the Eligibility Center? Yes No 12. Student-athlete's Division I initial-eligibilty status according to the NCAA Eligibility Center: Qualifier Non-Qualifier 1 2 3 4 13. How many seasons of competition has this student used in this sport? Yes No 14. Should the student-athlete qualify, do you object to use of one-time transfer exception? Yes If yes, to where?:________________________ No 15. If known, did the student-athlete transfer TO another school from yours? Yes No 16. Did student-athlete participate in athletic-related activities for more than 14 days? 17. Has this sport been discontinued permanently at your institution? Yes No If yes,please indicate official date:________________________ 18. If your school is an NCAA Division I institution and the student athlete participated in FOOTBALL, has the Yes No student-athlete used the 9-hour rule exception in NCAA Bylaw 14.4.3.1.6.2 during his attendance at your school? 19. Did student athlete receive insitutional financial aid to attend summer school?
Yes
No If Yes,when?:___________________
CHECK IF STUDENT-ATHLETE DID NOT PARTICIPATE IN ATHLETICS OR SPORT IS NOT SPONSORED AT YOUR INSTITUTION Sport
Semester
Year
Participation Status (Check All That Apply) Practice? Compete? Redshirt? Hardship Waiver?
Signature of Person Completing This Form: _________________________________ Contact Phone No. ___________________________
Received INSTITUTIONAL (including athletics) financial aid?
Yes
No
Yes
No
Yes
No
Yes
No
Title: _____________________________________
Email: ___________________________________
Date: _______________
By signing below, the above named student-athlete hereby gives Weber State University academics and athletics representatives permission to contact the above named educational institution and all other educational institutions attended to verify the potential articulation of course work and all other pertinent information pertaining to academic record, athletics participation and financial aid, as is required by the NCAA, Big Sky Conference and Weber State University regulations.
Signature: __________________________________________________________
Date: _______________
Please return this completed form to: Compliance Office, Weber State University, FAX (801) 626-6490 or via e-mail to [email protected]. Questions? Call (801) 626-8552. Thank you! Distribution: Orig-Compliance; Copies: Academic Services, Registrar, Coach; INPUT CA? ______________
Rev. 2/2013
