PLEASE RETURN COMPLETED FORM TO: Assistant Athletic Director

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INDIANA STATE UNIVERSITY ATHLETICS STUDENT-ATHLETE CAMP/CLINIC EMPLOYMENT DECLARATION FORM Student Athlete Name

Sport

ISU ID # 991-

NCAA STUDENT- CAMP/CLINIC EMPLOYMENT RULES NCAA Bylaw 13.2.2, et seq: A student-athlete who is employed in any sports camp or clinic must meet the following requirements: (a) The student-athlete must perform duties that are of a general supervisory character in addition to any coaching or officiating assignments. (b) Compensation provided to the student-athlete shall be commensurate with the going rate for camp or clinic counselors of like teaching ability and camp or clinic experience and may not be paid on the basis of the value that the student-athlete may have for the employer because of the athletics reputation or fame the student-athlete has achieved. It is not permissible to establish varying levels of compensation for a student-athlete employed in a sports camp or clinic based on the level of athletics skills of the studentathlete. (c) A student-athlete who only lectures or demonstrates at a camp/clinic may not receive compensation for his or her appearance at the camp/clinic. (d) A student-athlete may receive actual travel expenses (including lodging and meals in transit and prepaid plane tickets or cash advances) only if such travel expenses are paid and procedures for reimbursement of expenses are used for all employees of the camp/clinic. Credit cards may not be provided to a student-athlete to pay such expenses. (e) Actual transportation from an institution's coach or representative of its athletics interests may be provided to a student-athlete only if travel expenses are paid for all employees of the camp/clinic. PART II: CAMP EMPLOYMENT INFORMATION Camp Name

Student Athlete Job Title

Camp Location

Camp Owner

Camp Dates

Rate of Pay

Brief Job Description/Duties

Will travel or lodging expenses be provided to student athlete? If so, provide details and whether such are provided to all camp employees.

PART III-STATEMENT OF COMPLIANCE To Be Completed by Student-Athlete and Camp Owner/Director By signing this statement, the student-athlete and his/her employer/supervisor named above, agree that: • The student-athlete must perform duties that are of a general supervisory character in addition to any coaching or officiating assignments • Compensation provided to the student-athlete shall be commensurate with the going rate for camp or clinic counselors of like teaching ability and camp or clinic experience and may not be paid on the basis of the value that the student-athlete may have for the employer because of the athletics reputation or fame the student-athlete has achieved. It is not permissible to establish varying levels of compensation for a student-athlete employed in a sports camp or clinic based on the level of athletics skills of the student-athlete. • Student-athlete who only lectures or demonstrates at a camp/clinic may not receive compensation for his/her appearance at the camp/clinic.

• Student-athlete may receive actual travel expenses (including lodging and meals in transit and prepaid plane tickets or cash advances) only if such travel expenses are paid and procedures for reimbursement of expenses are used for all employees of the camp/clinic. Credit cards may not be provided to a student-athlete to pay such expenses. • The employer and student-athlete will make available for review and inspection, by an authorized representative of the NCAA, the Missouri Valley (Football) Conference or Indiana State University, copies of all documents, earnings statements and other records related to the studentathlete's employment. Student Athlete Signature: ___________________________ Date ________________ Employer/Supervisor Signature: _______________________ Date ________________ Compliance Approval Signature: _______________________ Date ________________ PLEASE RETURN COMPLETED FORM TO: Assistant Athletic Director for Compliance Indiana State University Arena, Room 104E, Fax: 812-237-4913 or email: [email protected]

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