SOUTHEASTERN LOUISIANA UNIVERSITY ATHLETICS ...
~
~-
'~SOUTHEASTERN LOUISIANA UNIVERSITY ATHLETICS . OFFICIAL VISIT REQUEST FORM
PROSPECT
INFORMATION:
Prospect
COMPLETED
DOB
~
BY COACH
Sport
Address
_ Telephone
_
City/State/Zip
_
Eligibility Center ID #
_
High School/City, State
_
J.C.lCity, State
_
Arrival
am / pm on OFFICIAL
VISIT CERTIFICATION:
Transcript on file at Southeastern Louisiana University? Yes__ Test Taken
SAT
Departure
_
COMPLETED
No__
Itinerary? Yes __
PSAT
Registeredwith the Eligibility Center? YES (Date Registered)
NO
NCAA EligibilityCenter Amateurismquestionnaire completed? YES
_
BY COMPLIANCE
Date Received
ACT
Date of Official Visit
am / pm on
No __
_
_ NO
_
_
Signature of Administrator: MUST BE COMPLETED
Date: AND SIGNED BY COMPLIANCE
MEAL INFORMATION:
_ PRIOR TO OFFICIALVISIT
COMPLETED
BEGINNING
BY COACH
Day I Meals Dinner Lunch
Cost
Location # people
Day 2 Meals Dinner Lunch
Cost
Location # people
Day 3 Meals Lunch Dinner
Cost
Location # people
Completed Official Visit Request/Meal Infonnation fonn must be signed and submitted with TA for reimbursement. All other official visit infonnation must be input into ACS. ACS official visit summary must be included with for reimbursement.
Signature of Head Coach
Date
~-
'~SOUTHEASTERN LOUISIANA UNIVERSITY ATHLETICS . OFFICIAL VISIT REQUEST FORM
PROSPECT
INFORMATION:
Prospect
COMPLETED
DOB
~
BY COACH
Sport
Address
_ Telephone
_
City/State/Zip
_
Eligibility Center ID #
_
High School/City, State
_
J.C.lCity, State
_
Arrival
am / pm on OFFICIAL
VISIT CERTIFICATION:
Transcript on file at Southeastern Louisiana University? Yes__ Test Taken
SAT
Departure
_
COMPLETED
No__
Itinerary? Yes __
PSAT
Registeredwith the Eligibility Center? YES (Date Registered)
NO
NCAA EligibilityCenter Amateurismquestionnaire completed? YES
_
BY COMPLIANCE
Date Received
ACT
Date of Official Visit
am / pm on
No __
_
_ NO
_
_
Signature of Administrator: MUST BE COMPLETED
Date: AND SIGNED BY COMPLIANCE
MEAL INFORMATION:
_ PRIOR TO OFFICIALVISIT
COMPLETED
BEGINNING
BY COACH
Day I Meals Dinner Lunch
Cost
Location # people
Day 2 Meals Dinner Lunch
Cost
Location # people
Day 3 Meals Lunch Dinner
Cost
Location # people
Completed Official Visit Request/Meal Infonnation fonn must be signed and submitted with TA for reimbursement. All other official visit infonnation must be input into ACS. ACS official visit summary must be included with for reimbursement.
Signature of Head Coach
Date
