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NJCAA Amateurism Questionnaire
NJCAA Amateurism Questionnaire
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This form confirms Vincennes University student-athlete amateur status in accordance with NJCAA regulations.
Title
A short description to explain the nature of a ticket.
NJCAA AMATEURISM QUESTIONNAIRE
Student Information
Are you a returning student athlete?
Are you a returning student athlete?
Yes
No
Choose sport(s)
Baseball
Mens Basketball
Womens Basketball
Mens Bowling
Cheer
Mens Cross Country
Womens Cross Country
Golf
Mens Track & Field
Womens Track & Field
Womens Volleyball
Clear
Full Name
List the first and last name of the student athlete.
Date of Birth
(mm/dd/yyyy)
Type the date of birth for the Student-Athlete.
Email
Age
College Name
Vincennes University
Educational Background
Dates Attended
Name of Educational Institution
Country
Tuition Paid By
Graduation Date
Where Did You Live?
All Athletics Participation
Team Name
Team Contact Information
League Affiliation
Date of Participation
Number of Contests Played
List Expenses Received
Did you participate with any teams after your 19th birthday or full-time enrollment in college?
Did you participate with any teams after your 19th birthday or full-time enrollment in college?
Yes
No
List the team you participated with and the years of participation.
Did you receive any money above expenses for your participation on any of the teams mentioned?
Did you receive any money above expenses for your participation on any of the teams mentioned?
Yes
No
Describe what you received and which team(s) provided the payments
Did anyone on your team receive money beyond expenses for participating in any athletic event?
Did anyone on your team receive money beyond expenses for participating in any athletic event?
Yes
No
Unknown
Describe the situation
Did you sign any type of agreement to participate on any of the teams mentioned above?
Did you sign any type of agreement to participate on any of the teams mentioned above?
Yes
No
Attach a copy of the agreement
File attachments associated with the ticket.
Browse...
List the team name(s)
List the first and last names of any siblings.
Did any of the teams you participated on call themselves professional?
Did any of the teams you participated on call themselves professional?
Yes
No
Unknown
List the team name(s)
John and Lisa Jones, John Jones and Lisa Smith, etc. . .
Did you have a written or verbal agreement with an agent or agency to represent you while you were participating in athletics?
Did you have a written or verbal agreement with an agent or agency to represent you while you were participating in athletics?
Yes
No
Have you or any of your family ever accepted any benefits from an agent or anyone associated with an agent?
Have you or any of your family ever accepted any benefits from an agent or anyone associated with an agent?
Yes
No
Unknown
Have you ever accepted any benefits not listed on this form from anyone other than your parents?
Have you ever accepted any benefits not listed on this form from anyone other than your parents?
Yes
No
Have you ever been involved in an advertisement or promotion?
Have you ever been involved in an advertisement or promotion?
Yes
No
Unknown
Describe the advertisement or promotion
If you have ever accepted any prize money based on your place finished for your participation in athletics, list them below
Name of Team
Date of Competition
Name/Type of Competition
Prize Money Received
Expenses
How did you learn about VU?
Who contacted you and encouraged you to attend VU?
list contact via by email, letters, telephone calls, in-person visits, etc.
List all official visits taken
Did you or someone on your behalf ever utilize a recruiting service or another individual to assist you in finding this institution or to assist you in obtaining an athletics scholarship?
Did you or someone on your behalf ever utilize a recruiting service or another individual to assist you in finding this institution or to assist you in obtaining an athletics scholarship?
Yes
No
Unknown
Please describe
I understand that information falsified or omitted can make me ineligible for ALL future college competition in compliance with the National Junior College Athletic Association Eligibility Rules.
I understand that information falsified or omitted can make me ineligible for ALL future college competition in compliance with the National Junior College Athletic Association Eligibility Rules.
Yes
No
Acknowledgment & Consent
Clicking Submit signifies that you have thoroughly read and fully understand all the information presented in this form. This consent, waiver, indemnity and release is binding on me, my heirs, executors, administrators and assigns.This action is the equivalent of providing your handwritten signature and the current date.
Other Fields
Your name
Your first name
Your last name
Your email address
Verification Code