Transfer Request Form

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Athletics

Transfer Request Form This is a request for transfer Verification and Permission to contact letter from the GSC Athletics Compliance Office. Complete the form below, print and send, or e-mail the form back to the Assistant Athletic Director for Compliance, Marcal Lazenby at [email protected] . The information below can be found at the transfer institutions website under athletic staff directory. Please list the Compliance Officer’s information. Select a Sport: Name of Student-Athlete: ________________________________ Sport: _________________

Current Institution: _____________________________________________________________ Compliance Officer’s Name: ______________________________________________________ Phone Number: ________________________________________________________________ E-Mail address (Compliance Officer): __________________________________________________

Coach Requesting Information:

Select a Sport: Coaches Name: ________________________________________ Sport: __________________ Date: _______________________ Confirmation Request / bcc on e-mail: Yes

No

Please allow 48 hours after request, for processing before contacting the Compliance Office.

Glenville State College is a member of NCAA Division II, National Letter of Intent, and the Mountain East Conference