East Carolina University Athletic Office of Compliance Roster Change Form/Permission to Contact Request All roster changes should be reported on an Official Roster Change Form to the Office of Compliance as soon as there is a change. The Sport Administrator, Head Coach, and student-athlete MUST SIGN this form prior to submitting to the Office of Compliance. The Office of Compliance will update all necessary materials to reflect the change. STEP 1 (to be completed by the Head Coach): Name of Student-Athlete: Status Change Request Date:
S-A Phone Number:
Sport:
Banner ID:
ECU Email: Reason for Status Change (check all that apply) and explain: 1. Cut From Team 2. Dismissed From Team 3. Quit, Still Enrolled at ECU 4. Quit, Left ECU/Graduated 5. Plans to Transfer to Another College/University Coach’s Explanation:
Coach’s Signature
Date:
STEP 2 (to be completed by the Sport Administrator): Financial Aid: Is S-A receiving athletics grant-in-aid? Yes
No
Cancel Scholarship:
Yes, Immediately
Yes, After Current Semester
No
Reduce Scholarship:
Yes, Immediately
Yes, After Current Semester
No
*Complete a Reduction of Athletic Aid form Support Services: Cancel access to Athletic Trainer/Medical Staff: Yes, Immediately
Yes, After Current Semester
No
Yes, Immediately
Yes, After Current Semester
No
Remove from Student Development roster:
*If after withdrawal date from University, will remain on roster for purpose of team GPA calculations. This includes class checks, study hall, advisor meetings, etc. Remove from Website
Yes, Immediately
Yes, After Current Semester
No
East Carolina University Athletic Office of Compliance Roster Change Form/Permission to Contact Request If Planning to Transfer: Permission granted to ANY institution:
PERMISSION TO CONTACT Yes No
TRANSFER RELEASE Yes No
Permission granted to institutions on attached list:
Yes
Yes
Permission DENIED to contact any institution:
Yes
No
No
STEP 3 (Sport Administrator meets/talks with student-athlete): I have met/talked with the student-athlete.
Yes
No
Sport Administrator’s Signature
Date:
I understand that as of the roster removal date I will no longer have access to the ECU Athletics Strength and Conditioning Facility. I also understand that, if receiving any athletics financial aid, I must continue to abide by the ECU Student-Athlete Code of Conduct. I must also attend class, study hall and meetings with Office of Student Development staff as scheduled. Failure to comply with these requirements may lead to a cancellation of any athletics financial aid.
Earliest date student-athlete may return to roster:
SA’s Signature:
Date:
FOR OFFICE OF COMPLIANCE USE ONLY: Information has been updated in: CA ACS Eligibility Spreadsheet Notification has been sent to: Sport Administrator Media Relations Sports Medicine Strength & Conditioning