The student will return the form to the Head Coach who will forward the form to the Compliance Office for evaluation prior to the tryout. This form must be completed 1 WEEK prior to the tryout date—NO EXCEPTIONS WILL BE PERMITTED!
Student must complete the following information, obtain the necessary signatures in steps 1, 2 & 3, and return this form to the Head Coach (or their designee). Name: Sport:
E-mail: ________________________________________ Birthday: ____________________________________________ 1. Students must provide proof that they have had a physical within the previous 6 months from a licensed
medical professional. (Please go to Athletic Fieldhouse – Sports Medicine Suite) a. Proof of Physical (Trainer Signature):_________________________________________ b. Proof of Sickle Cell Testing: Yes_____ No_____ i. If no proof of sickle cell testing has been provided, a waiver has been signed by student (sickle cell testing waiver is applicable for tryouts only) (Trainer Signature):___________________________ 2. Proof of Insurance Signature (Please go to Business Office—JAR Basketball Arena Room 76): SIGN:_____________________________________ DATE:_____________________________
Students must provide proof of PRIMARY MEDICAL INSURANCE. Medical insurance through The University of Akron does NOT satisfy this requirement. 3. Your Educational Background Date of High School Graduation: _________________ Date of Initial College Enrollment: ___________________ Date of Initial Enrollment at Akron: _______________ List any other college/university you have attended and dates: __________________________________________ _____________________________________________________________________________________________ Have you registered with the NCAA Eligibility Center? Yes _______ No________ What is your declared/intended major? _____________________________________________________________
Academic Advising Signature (Please go to JAR Basketball Arena Room 175) Does student meet the minimum academic threshold for tryouts? Yes_______
No________
Signature: ———————————————————-For Office Use Only————————————————————————— A. Full Time? ____________ B. Registered with E.C.? ___________ NCAA ID# ______________________________________________ C. Final Qualifier? _________ If no, what is missing? ___________________________________________ D. High school GPA? ______________ SAT/ACT sum scores: ____________________________________ E. Amateurism Certified? ____________ F. Akron Cumulative GPA? ________________ Meets GPA requirement? ________________________ G. Percentage of degree required? _____________ Meets %? ____________________________________ H. Meets 6, 18, 24 credit hour rules? _________________________________________________________ I. If four year transfer, is release on file? _____________________________________________________ J. If two year transfer, did they earn their associate’s degree? ____________________________________ K. Other notes: ____ Academic review completed ________________________________________________________ Academic Advising Signature
____ Not eligible to practice, pending completion of ____ Eligible to practice only until