Name, Image, & Likeness Reporting

Name, Image, & Likeness Report
NAIA HANDBOOK: ARTICLE VI - SECTION B, ITEM 11

Student-Athlete’s Failure to Report Name, Image, Likeness Compensation:

A student-athlete receiving compensation for the use of his or her name, image, or likeness to promote a commercial product or enterprise, or public or media appearance must report it in writing to his or her athletics director when such promotion includes reference to his or her status as a student-athlete or institution. Failure to do so shall result in an institutional self-report to be reviewed by the National Coordinating Committee. The committee is empowered to review such violations and apply penalties as necessary, including but not limited to a warning or reprimand to the student-athlete, withholding the student from future competitions, and/or determining the student has lost his or her amateur status.
Name*

First NameLast Name
Sport/Team*
Example: Women's Volleyball
Email Address*
Please complete this form for EACH company or organization you plan to represent and receive compensation.

All NIL opportunities are submitted to the Director of Athletics for review and approval/denial.

Please provide as many details as possible:

What is the name of the company are you representing or promoting?*
Please list their website or contact information:*
If you are not representing yourself in negotiations or agreements and are instead using a service or agent to execute this aggreement, please list their contact information:
Please list their product or service offerings and what you will be promoting:*
Please select the type of compensation that you are receiving:*

ProductFinancial CompensationServices or BenefitsOther
What is the dollar amount/worth of your compensation?
Examples: Social Media, Brand Ambassador, Public Appearance, Hourly Day Job....
How are you promoting or representing each company?*
Examples: Social Media, Brand Ambassador, Public Appearance, Hourly Day Job....
Please write the dates of your agreement/representation with this organization/company:*
List number of weeks, months or years; or starting or ending dates

Is there anything else that you would like to report concerning Name, Image, & Likeness?
Student-athletes must not use their NIL to promote gambling, alcohol products, tobacco products, adult entertainment, substances banned by the NAIA, or products or services that are illegal.

Student-athletes may not sell products provided by OUAZ Athletics or awards received for intercollegiate athletic participation while they are a student-athlete.
Should be Empty: