TRYOUT FORM

STUDENT- ATHLETE WALK-ON/TRYOUT FORM All portions of this form must be completed prior to engaging in any practice-related activities with an App State sports team. The Athletics Compliance office will notify the sport program coach if you meet eligibility requirements to participate in a tryout for a maximum period of two weeks. STEP ONE: STUDENT INFORMATION (to be completed by student) Sport:

Name: Banner ID #:

Initial Full-Time Enrollment at App State (Term/Year):

NCAA ID#:

Best way to contact you:

@appstate.edu Phone

Select one:

App State Email

 Incoming Freshman Student  Incoming Transfer Student  Continuing App State Student  Continuing Transfer Student (been at App State for at least a semester but transferred from another 2-yr or 4-yr college)

(IF APPLICABLE) Previous College Attendance:

Institution:

Dates Attended:

Institution:

Dates Attended:

Institution:

Dates Attended:

STEP TWO: COMPLIANCE OFFICE ELIGIBILITY Review (Owens Field House, 2nd Floor)

 Enrolled Full-Time (_____________hours)  Initial FT Enrollment _________________  Degree Seeking:  Yes  No  Five-Year Clock (_______/______/______/______/______) App St. GPA __________  Overall GPA _________  Qualifier Status:  Qualifier  Non-Qualifier  No Decision ____________________________________________ Amateurism:  Certified  Pending  NCAA Hold has been placed on account

 Not Requested

_________________________________________________

STEP THREE: ATHLETIC TRAINING Review (1st floor Athletics Center) This SA has completed a (1) physical exam, (2) signed the liability waiver, (3) shown proof of sickle cell solubility

 YES  NO

test, (4) shown proof of insurance and is medically cleared to participate. Athletic Trainer Signature

Athletic Trainer Name (please print)

Date

STEP FOUR: COMPLIANCE OFFICE APPROVAL (4th floor Athletics Center)

 APPROVED -

Student’s two week tryout period: Begin Date: (or until first date of competition)

 Eligible for practice:  Yes  No  Eligible for competition:  Yes  No  DENIED – Reason: Athletics Compliance Office Signature:

 

TBD TBD

End Date:

Comments: _________________________________________ Comments: _________________________________________ Date:

***************************************************************************************************** Emailed Tryout Period Approval to:  Athletic Trainer  Head Coach/Coaching Staff

POST TRYOUT COACHES APPROVAL/DENIAL to ADD student to roster

 APPROVED – add student to roster

 DENIED Date

COMPLIANCE OFFICE USE ONLY Student-Athlete has:

 FT Enrollment  Added to JumpForward  Drug Testing Consent form  Completed all other JumpForward forms  Received Student-Athlete Planner/Handbook  Viewed the Student-Athlete Beginning of Year Rules Education Presentation  Received Drug Education materials  Has been coded on SGASPRT in Banner and had an NCAA hold put on their schedule

Emailed Addition to Roster to:  Athletic Trainer  Head Coach/Coaching Staff  Strength & Conditioning  Academic Services for Athletes (team's academic advisor)  Sports Information  Eligibility Specialist  Financial Aid liaison  Drug Testing Coordinator  Facilities (for facility access coding)