university of central florida

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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

Office of Compliance Signature:

 Financial Aid (if necessary)

 Financial Aid (if necessary)  Coaching Staff

 Registrars  Equipment  Student Development

Date: