Official Visit Approval Form 3.2013
Montana State University Billings
OFFICIAL VISIT APPROVAL FORM
Athletics Compliance Office
This form must be completed and submitted along with transcripts, test scores (HS only) and itinerary to the compliance office 48 hours prior to the visit in order to receive approval.
Prospect Information - Completed by Coach Prospect Name:___________________________ NCAA ID #:__________________ DOB:_____________ Sport:__________________ Phone Number: _________________ Email:___________________________ Name of High School/Prep School/JC/4-year College:_____________________________________________ ___ Jr H.S. Prospect
___ Sr. H.S./Prep School Prospect
___ Two-year College Prospect
___ Four-year College Prospect
______ Initial here to confirm that AD Letter and Official Visit Guidelines have been sent to PSA & Parents Visit Information - Completed by Coach Date & Time Visit Begins:____________________
Date & Time Visit Ends:_____________________
Individuals Accompanying the Prospect
Relationship
_____________________________________________
________________________________
_____________________________________________
________________________________
_____________________________________________
________________________________
Student Host:______________________________
Mode of Transportation:_______________________
_________________________________________________ Signature of Recruiting Coach
___________________ Date
___________________________ Head Coach Initials
For Compliance Use High School/Prep School Prospects Started classes for 11th or 12th Grade
Transfer Prospects 4-year Prospect
Transcript Received
Permission to Contact Received
Test Score Received
Transcript Received
Added to Institutional Request List (IRL)
APPROVED
2-year Prospect 1st year Qualifier
APPROVED
2nd year 4-2-4
NOT APPROVED
Transcript Received _______________________________ Signature of Compliance
____________ Date
_______________________________ Signature of Athletic Director
____________ Date 8/13
Department of Intercollegiate Athletics
Dear Prospective Student-Athlete, We are pleased that you have chosen to make an official visit to Montana State University Billings. Following the guidelines that govern the NCAA member institutions, I must make you aware of the following: In Division II, a member institution may finance only one expense-paid (official) visit per prospective student-athlete. You may make as many visits on your own as you wish (unofficial visit) where you cover your expenses. It is important to note that Montana State University Billings will provide, at no expense to the prospects (you the recruit), housing in the residence halls with a student-athlete host for 2 nights (not to exceed 48 hours) and all meals during the visit in university dining halls. Any additional request for expenses must be preapproved by the Director of Athletics prior to your visit. To comply with NCAA Division II regulations, we must receive a current high school or college academic transcript prior to your arrival to campus. The transcript may be an unofficial photocopy of an official document from your high school or college. If you have applied to Montana State University Billings and our admissions office has already received a copy of your transcript and test scores, you do not need to send in another copy. In addition to having your transcript you must be registered with the NCAA Eligibility Center. Please inform the coach of your NCAA Eligibility Center number so you can be added to that sports Institutional Request List. In addition we have included an OFFICAL VISIT EMERGENCY CONTACT FORM. Please complete this form and submit it on or before your official visit. If this form is not submitted you will not be permitted to participate in any tryouts, “open/pick-up” or athletically related activities on your visit. Thank you for taking the time to complete all the necessary paperwork prior to your stay on campus. We are looking forward to seeing you and are thrilled to be included in your college search! Thanks again for your interest and if you have any questions, do not hesitate to call.
Sincerely,
Ms. Krista Montague Director of Intercollegiate Athletics
1500 University Drive * Billings, Montana 59101-0245 * Office: 406-657-2369 * Fax: 406-657-2919
Montana State University Billings Official Visit Emergency Contact Form
Name ____________________________
Sport ______________ Date of Birth_________
Social Security _________________ High School/College____________________ MSUB Host:
Home Address:
Town:
State:
Telephone:
Zip:
Residence Hall: Cell telephone/Room phone:
Parent/Guardian: Home Telephone: Work Telephone: Cell Telephone:
Emergency Contact Contact Other than Parent: Home Telephone: Work Telephone: Cell Telephone:
Assumption of Risk Waiver I_____________________________ accept that participation in sports requires an Please Print
acceptance of risk of injury. I assume that those responsible for the conduct of sports have taken precautions to minimize risk and those participating in the sport will not intentionally inflict injury. I understand there is a possibility that a catastrophic sports injury may occur. Participation in sport could result in death, serious neck and spinal injuries which may result in complete or partial paralysis, brain damage, serious injury to all internal organs, serious injury to all bones, joints, ligaments, muscles, tendons and other aspects of the musculoskeletal system, and serious injury or impairment to other aspects of my body, general health and well-being. Date:_______________ Signature:____________________________ Parent/Guardian:____________________________ Medical Treatment and Coverage I_____________________________accept that Montana State Billings cannot be held Please Print
responsible for any previous/current medical conditions that I may have or for any medical expenses incurred due to any pre-existing medical conditions, or those incurred while participating in athletic practices with a Montana State University Billings sports team. I accept that if the Athletic Training staff has to administer first aid care that I must abide by their recommendations for return to practice until they deem it safe or a physician clears me for full activity. Date:____________________
Signature:_____________________________ Parent/Guardian:___________________________
OFFICIAL VISIT APPROVAL FORM
Athletics Compliance Office
This form must be completed and submitted along with transcripts, test scores (HS only) and itinerary to the compliance office 48 hours prior to the visit in order to receive approval.
Prospect Information - Completed by Coach Prospect Name:___________________________ NCAA ID #:__________________ DOB:_____________ Sport:__________________ Phone Number: _________________ Email:___________________________ Name of High School/Prep School/JC/4-year College:_____________________________________________ ___ Jr H.S. Prospect
___ Sr. H.S./Prep School Prospect
___ Two-year College Prospect
___ Four-year College Prospect
______ Initial here to confirm that AD Letter and Official Visit Guidelines have been sent to PSA & Parents Visit Information - Completed by Coach Date & Time Visit Begins:____________________
Date & Time Visit Ends:_____________________
Individuals Accompanying the Prospect
Relationship
_____________________________________________
________________________________
_____________________________________________
________________________________
_____________________________________________
________________________________
Student Host:______________________________
Mode of Transportation:_______________________
_________________________________________________ Signature of Recruiting Coach
___________________ Date
___________________________ Head Coach Initials
For Compliance Use High School/Prep School Prospects Started classes for 11th or 12th Grade
Transfer Prospects 4-year Prospect
Transcript Received
Permission to Contact Received
Test Score Received
Transcript Received
Added to Institutional Request List (IRL)
APPROVED
2-year Prospect 1st year Qualifier
APPROVED
2nd year 4-2-4
NOT APPROVED
Transcript Received _______________________________ Signature of Compliance
____________ Date
_______________________________ Signature of Athletic Director
____________ Date 8/13
Department of Intercollegiate Athletics
Dear Prospective Student-Athlete, We are pleased that you have chosen to make an official visit to Montana State University Billings. Following the guidelines that govern the NCAA member institutions, I must make you aware of the following: In Division II, a member institution may finance only one expense-paid (official) visit per prospective student-athlete. You may make as many visits on your own as you wish (unofficial visit) where you cover your expenses. It is important to note that Montana State University Billings will provide, at no expense to the prospects (you the recruit), housing in the residence halls with a student-athlete host for 2 nights (not to exceed 48 hours) and all meals during the visit in university dining halls. Any additional request for expenses must be preapproved by the Director of Athletics prior to your visit. To comply with NCAA Division II regulations, we must receive a current high school or college academic transcript prior to your arrival to campus. The transcript may be an unofficial photocopy of an official document from your high school or college. If you have applied to Montana State University Billings and our admissions office has already received a copy of your transcript and test scores, you do not need to send in another copy. In addition to having your transcript you must be registered with the NCAA Eligibility Center. Please inform the coach of your NCAA Eligibility Center number so you can be added to that sports Institutional Request List. In addition we have included an OFFICAL VISIT EMERGENCY CONTACT FORM. Please complete this form and submit it on or before your official visit. If this form is not submitted you will not be permitted to participate in any tryouts, “open/pick-up” or athletically related activities on your visit. Thank you for taking the time to complete all the necessary paperwork prior to your stay on campus. We are looking forward to seeing you and are thrilled to be included in your college search! Thanks again for your interest and if you have any questions, do not hesitate to call.
Sincerely,
Ms. Krista Montague Director of Intercollegiate Athletics
1500 University Drive * Billings, Montana 59101-0245 * Office: 406-657-2369 * Fax: 406-657-2919
Montana State University Billings Official Visit Emergency Contact Form
Name ____________________________
Sport ______________ Date of Birth_________
Social Security _________________ High School/College____________________ MSUB Host:
Home Address:
Town:
State:
Telephone:
Zip:
Residence Hall: Cell telephone/Room phone:
Parent/Guardian: Home Telephone: Work Telephone: Cell Telephone:
Emergency Contact Contact Other than Parent: Home Telephone: Work Telephone: Cell Telephone:
Assumption of Risk Waiver I_____________________________ accept that participation in sports requires an Please Print
acceptance of risk of injury. I assume that those responsible for the conduct of sports have taken precautions to minimize risk and those participating in the sport will not intentionally inflict injury. I understand there is a possibility that a catastrophic sports injury may occur. Participation in sport could result in death, serious neck and spinal injuries which may result in complete or partial paralysis, brain damage, serious injury to all internal organs, serious injury to all bones, joints, ligaments, muscles, tendons and other aspects of the musculoskeletal system, and serious injury or impairment to other aspects of my body, general health and well-being. Date:_______________ Signature:____________________________ Parent/Guardian:____________________________ Medical Treatment and Coverage I_____________________________accept that Montana State Billings cannot be held Please Print
responsible for any previous/current medical conditions that I may have or for any medical expenses incurred due to any pre-existing medical conditions, or those incurred while participating in athletic practices with a Montana State University Billings sports team. I accept that if the Athletic Training staff has to administer first aid care that I must abide by their recommendations for return to practice until they deem it safe or a physician clears me for full activity. Date:____________________
Signature:_____________________________ Parent/Guardian:___________________________
