Nicholls State University – Athletic Compliance Official Visit Requisition Form * Form must be submitted to Compliance at least 7 days after scheduled visit.
_________________________________________ City, State, Country
______________________________________ Official Visit Began (Date/Time)
_________________________________________ Official Visit Ended (Date/Time)
______________________________________ Parents/Guardians Making Visit
_________________________________________ Host
________________________________________ Site of Lodging
_________________________________________ Method of Payment for Lodging
Expenses Paid by Prospect? Yes ___________ No ___________ (If no attach receipts) Mileage Reimbursement? Yes ___________ No ___________ Traveled from _________________________________ to Nicholls State University Roundtrip Miles Driven ___________ X ______________________=_________________________________ Miles Amount per mile Mileage Reimbursement Mode of Transportation provided on campus: ______________________Driver: ______________________
Day One Breakfast
Time
Location/Who Attended
Cost
Time
Location/Who Attended
Cost
Time
Location/Who Attended
Cost
Lunch Dinner Day Two Breakfast Lunch Dinner Day Three Breakfast Lunch Dinner
Name of Coaches and Athletic Personnel who met with this prospect during the Official Visit: Name
Title
Date
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Name of Non-Athletic Personnel who met with this prospect during the Official Visit: Name
Title
Date
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Complimentary Admissions Event/Date
Name of those admitted
_______________________________________ Signature of Prospect/Date
_______________________________________ Signature of Head Coach/Date