loyola university chicago athletic office of compliance signature ...
LOYOLA UNIVERSITY CHICAGO ATHLETIC OFFICE OF COMPLIANCE BASKETBALL ON-CAMPUS APPROVAL FORM NCAA legislation permits prospects to participate in one pre-approved on-campus evaluation provided certain conditions are met. To facilitate an approval from the Office of Compliance, this form must be completed, signed and include all requested documents before a decision will be rendered. PSA Name:
Sport:
Eligibility Center ID #:
Date of Birth: TYPE OF VISIT:
Official
or
Unofficial Visit
Date(s) of Visit: Date & Time of Try-Out:
SUPPLEMENTAL DOCUMENTS REQUIRED FOR APPROVAL: 1.
Has a Preliminary Evaluation Request been submitted?
YES
2.
Is the prospect’s competition schedule attached?
YES
HIGH SCHOOL, PREP SCHOOL, & TWO-YEAR COLLEGE PROSPECTS (ONLY): Has the prospect’s season concluded? YES or NO o Date of Last Scheduled Competition: ___________________________________________________
Has the prospect exhausted his eligibility for scholastic competition?
YES
or
NO
FOUR-YEAR COLLEGE PROSPECTS (ONLY):
Has the prospect’s season concluded? o Date of Last Scheduled Competition:
Has LUC received permission to contact the prospect?
YES or NO ___________________________________________________ YES
or
NO
MEDICAL CLEARANCE: (Athletic Training Staff Only) Has the prospect undergone a medical examination/evaluation by a physician (MO or DO) within six months of the proposed try-out? YES or NO
Sickle Cell Solubility Test Results Received?
YES
By signing below I affirm that the information I have provided above is truthful to the best of my knowledge.
Head Coach (or designee): ______________________________________________
Date: ___________________
Signature of Athletic Training: ___________________________________________
Date: ___________________
Compliance Office Approval: YES or NO SIGNATURE REQUIRED ON PAGE 2 Name: _____________________________________________
Date: ___________________
REMINDERS LUC’s student-athletes may participate in an on-campus evaluation, provided such participation is counted toward the applicable hourly and weekly limitations on countable athletically related activities (e.g., four hours per day and 20 hours per week during the playing season, two hours of skill instruction and eight hours per week outside the playing season); The duration of the on-campus evaluation activities (other than the medical examination or evaluation) shall be limited to two hours; Any activities that are considered CARA are permissible during this two hour on-campus evaluation; We are permitted to provide equipment and clothing to a prospective student-athlete(s) on an issuance-andretrieval basis. The prospective student-athlete is not included in the numerical limitation (i.e., 4 student-athletes at any one time) for sports out-of-season after before September 15th and after April 15th until one week prior to final exams. We may only provide water and/or electrolyte replacement drinks to any prospect(s) participating in a previously approved on-campus evaluation during an unofficial visit. (This is a not a comprehensive list of permissible and nonpermissible items. Please contact the Office of Compliance for additional information.)
Sport:
Eligibility Center ID #:
Date of Birth: TYPE OF VISIT:
Official
or
Unofficial Visit
Date(s) of Visit: Date & Time of Try-Out:
SUPPLEMENTAL DOCUMENTS REQUIRED FOR APPROVAL: 1.
Has a Preliminary Evaluation Request been submitted?
YES
2.
Is the prospect’s competition schedule attached?
YES
HIGH SCHOOL, PREP SCHOOL, & TWO-YEAR COLLEGE PROSPECTS (ONLY): Has the prospect’s season concluded? YES or NO o Date of Last Scheduled Competition: ___________________________________________________
Has the prospect exhausted his eligibility for scholastic competition?
YES
or
NO
FOUR-YEAR COLLEGE PROSPECTS (ONLY):
Has the prospect’s season concluded? o Date of Last Scheduled Competition:
Has LUC received permission to contact the prospect?
YES or NO ___________________________________________________ YES
or
NO
MEDICAL CLEARANCE: (Athletic Training Staff Only) Has the prospect undergone a medical examination/evaluation by a physician (MO or DO) within six months of the proposed try-out? YES or NO
Sickle Cell Solubility Test Results Received?
YES
By signing below I affirm that the information I have provided above is truthful to the best of my knowledge.
Head Coach (or designee): ______________________________________________
Date: ___________________
Signature of Athletic Training: ___________________________________________
Date: ___________________
Compliance Office Approval: YES or NO SIGNATURE REQUIRED ON PAGE 2 Name: _____________________________________________
Date: ___________________
REMINDERS LUC’s student-athletes may participate in an on-campus evaluation, provided such participation is counted toward the applicable hourly and weekly limitations on countable athletically related activities (e.g., four hours per day and 20 hours per week during the playing season, two hours of skill instruction and eight hours per week outside the playing season); The duration of the on-campus evaluation activities (other than the medical examination or evaluation) shall be limited to two hours; Any activities that are considered CARA are permissible during this two hour on-campus evaluation; We are permitted to provide equipment and clothing to a prospective student-athlete(s) on an issuance-andretrieval basis. The prospective student-athlete is not included in the numerical limitation (i.e., 4 student-athletes at any one time) for sports out-of-season after before September 15th and after April 15th until one week prior to final exams. We may only provide water and/or electrolyte replacement drinks to any prospect(s) participating in a previously approved on-campus evaluation during an unofficial visit. (This is a not a comprehensive list of permissible and nonpermissible items. Please contact the Office of Compliance for additional information.)
