Transfer Player Eligibility Statement

This page is to be filled out by the FACULTY ATHLETICS REPRESENTATIVE (assisted by the transfer student) only once at any NAIA institution. This form must be completed prior to participation for all students whose immediately previous identification with an institution of higher learning, even if the student has received an NAIA Eligibility Center determination for the current academic term. Complete all fields; if not applicable, write N/A in the field.

Institution*

State*

Email*

Last Name*

First Name*

Middle Name*

Eligibility Center ID/Campus ID*

Date you first attended classes at this institution as a transfer student:*

MonthDayYear

Did you enroll after the date set by the institution for regular full-time students?*

YesNo

If "Yes", give date of enrollment:*

MonthDayYear

Did you graduate from high school?*

YesNo

If “Yes” Month and year of high school graduation:*

MonthDayYear

High School Name*

High School City*

High School State*

High School Country

If “No” Did you earn a G.E.D.?*

NoYes

Have you served on Active Military Duty for one year or more?*

YesNo

List date of Discharge*

Have you been granted a hardship/medical redshirt by any intercollegiate athletics association or conference?*

YesNo

If "Yes", complete the following:

Sport*

Year*

Granted By*

Have you ever been suspended (or its equivalent) from any institution of higher learning?*

YesNo

Have you ever attended a four-year college or university, a trade school, a junior college or other post-high school institution?*

YesNo

If you answered "Yes" to the above question, complete the following two sections:

ATTENDANCE SECTION (account for every academic/calendar term since high school)*

COMPETITION SECTION

Did you participate in an intercollegiate contest at any previous institution? List below any seasons of competition in ALL intercollegiate sports*

YesNo

To the best of my knowledge, this is a complete and accurate report of my participation in college athletics. I believe I am eligible under NAIA rules. I understand withholding information or providing false information, particularly concerning previous institutional identification and/or participation, will rule me ineligible for participation in athletics within the NAIA.

Signature*