LOYOLA UNIVERSITY CHICAGO ATHLETIC OFFICE OF

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LOYOLA UNIVERSITY CHICAGO ATHLETIC OFFICE OF COMPLIANCE UNOFFICIAL VISIT RECORD Prospect’s Name:

HS Graduation Year:

Sport:

Date(s) of Unofficial Visit:

Home Address: Mode of Transportation:

Air

Expenses Incurred By:

Car

Train

Bus

Relation:

Lodging: Expenses Incurred By:

Relation:

Name and Relationship of Individual(s) Accompanying Prospect: Name:

Relation:

Name:

Relation:

Name:

Relation:

List of All Activities During Unofficial Visit (may attach detailed itinerary in lieu of):

All Cost/Expenses Incurred by Prospect During Unofficial Visit (e.g., meals, lodging entertainment): Type of Expense

Cost

I certify that my visit was unofficial and I paid for ALL of my own expenses including all transportation, food, lodging, and entertainment costs. Further, I certify that no in-person contact was made off LUC’s campus. Prospect’s Signature:

Date:

Coach’s Signature:

Date: