You will be completing the following 3 forms:

• Form 25-3c Student-Athlete Statement
• Form 25-3f Drug-Testing Consent
• NCAA Banned Substances Attachment

For: Division III Student-athletes.
Action: Sign and return to your director of athletics. (You will be submitting this form electronically to your institution's compliance office.)
Due date: Before your first competition in Academic Year 2025-26.
Required by: NCAA Division III Bylaws 14.1.3 and 20.8.4.5.
Purpose: To assist in certifying eligibility.
Effective Date: The effectiveness of this NCAA Division III Student-Athlete Statement shall begin on the date of your signature and, unless terminated earlier in accordance with Part IX below, will continue until the earlier of your signature on a subsequent NCAA Student-Athlete Statement or your final date of participation in NCAA intercollegiate athletics.

Division III Bylaw 14.1.3.1 provides that, before participation in intercollegiate competition each academic year, a student-athlete shall sign a statement in a form prescribed by the Division III Management Council in which the student-athlete submits information related to eligibility, recruitment, financial aid, amateur status, previous positive drug tests administered by any other athletics organization and involvement in organized gambling activities related to intercollegiate or professional athletics competition under the Association's governing legislation. This is the annual form prescribed by the Management Council, and it includes the following ten parts:

I. General Statement Concerning Eligibility and Athletics Participation.
II. FERPA/HIPAA Consent.
III. Amateurism.
IV. Drug Tests.
V. Sports Wagering/Betting.
VI. Academic Eligibility Information (First Year Only).
VII. Other Violations.
VIII. Information Pertaining to Future Transfer.
IX. Termination/Survivability of Student-Athlete Statement.
X. Student-Athlete Signature.

Bylaw 14.1.3.1 provides that a failure to complete and sign the annual eligibility statement shall result in the student-athlete's ineligibility for participation in all intercollegiate competition. Accordingly, you must legibly complete the information above and sign all parts below in order to be eligible to participate in intercollegiate competition.

Before you sign this form, you should read the eligibility provisions of the NCAA Division III Manual or the Summary of NCAA Key Regulations, or another similar outline or summary of NCAA regulations, in each case, in the form provided to you by your director of athletics. You are responsible for knowing and understanding the application of all NCAA Division III regulations related to your eligibility. If you have any questions, you should discuss them with your director of athletics (or their official designee).

The conditions that you must meet to be eligible and the requirement that you sign this form are indicated in the following articles and regulations of the Division III Manual: NCAA Bylaws 10 (ethical conduct), 12 (amateurism), 13 (recruiting), 14 (eligibility), 15 (financial aid), 16 (awards, benefits, expenses), 18.4 (championship eligibility) and 31.2.3 (banned substances).

If you have questions, you may contact the NCAA directly at 317-917-6222.

PART I: GENERAL STATEMENT CONCERNING ELIGIBILITY AND ATHLETICS PARTICIPATION.

I affirm the following:

1. My current institution identified above has provided me with a copy of the Summary of NCAA Key Regulations, or another similar outline or summary of the eligibility regulations of the Division III Manual, and my director of athletics (or their designee) provided me with an opportunity to ask questions about those materials.

2. I have knowledge of and understand the application of the Division III regulations as they relate to my eligibility and participation in intercollegiate athletics.

3. To the best of my knowledge, I meet the eligibility requirements to participate as a student-athlete in NCAA Division III collegiate athletics including those related to ethical conduct, amateurism, recruiting, eligibility, financial aid, awards and benefits, banned substances and sports wagering, in each case as those requirements are described in the Division III manual sections identified above.

4. I understand that if I sign this statement falsely or erroneously it will result in a violation of NCAA regulations regarding ethical conduct which will jeopardize my eligibility and participation in intercollegiate athletics.

PART II: FERPA/HIPAA CONSENT.

1. Required FERPA Consent – Institutional Education Record Disclosure for Eligibility Purposes.

I understand that education records are protected by the Family Educational Rights and Privacy Act of 1974 as the same may be amended from time to time (FERPA) and may not be disclosed without my consent. I agree that my current institution identified above may disclose this form, the other education records information described in items a-k below, and any other documents or information related thereto, to its conference (if any), the NCAA, and their respective authorized agents solely for the purpose of permitting those authorized recipients to evaluate, determine and/or confirm my eligibility for any aspect of participation in NCAA intercollegiate athletics and related programs:

a. Results of drug tests administered by the NCAA, its authorized agents or my current institution identified above, and related information and correspondence including, without limitation, the information provided in Part IV below;

b. Results of drug tests administered by a non-NCAA national and international sports governing body including, without limitation, the information provided in Part IV below;

c. Any transcript from my high school, the identified institution or any junior college or other four-year institution I have attended;

d. Pre-college test scores, appropriately related information and correspondence (e.g., testing sites and dates and letters of test-score certification or appeal) and where applicable, information relating to eligibility for or conduct of nonstandard testing;

e. Graduation status;

f. My social security number and/or student identification number;

g. Race and gender identification;

h. Diagnosis of any education-impacting disabilities;

i. Accommodations provided or approved, and other information related to any education-impacting disabilities in all secondary and postsecondary schools;

j. Records concerning my financial aid; and

k. Any other materials or information disclosed by me or otherwise received pertaining to my NCAA eligibility.

 

2. Required HIPAA Consent – Institutional Health Care Disclosure for Eligibility Purposes.

I understand that certain aspects of my health-related information are protected by the Health Insurance Portability and Accountability Act (HIPAA) of 1996 as the same may be amended from time to time and may not be disclosed without my consent. I agree that my current institution identified above, and any of its physicians, athletic trainers and other agents, as well as any health care organizations and medical personnel that may be working with it or providing services on its behalf, may disclose my Protected Health Information, as that term is defined in 45 CFR § 160.103, to the NCAA and its authorized agents and representatives to the extent such information pertains to my participation in intercollegiate athletics including, without limitation, any information regarding any injury, illness or any diagnosis, or any treatment or management of any injury or illness, related to or affecting my training for and participation in intercollegiate athletics, for the sole purpose of evaluating, determining and/or confirming my eligibility for any aspect of participation in NCAA intercollegiate athletics and related programs.

3. Voluntary FERPA/HIPAA Consent (DO NOT CHECK ALL THREE BOXES. Check One/Both of the First Two Boxes OR the Third Box Below).

4. Institutional Disclosure of Deidentified Information.

I understand and agree that, while not subject to FERPA or HIPAA, certain portions of my education record data and information may be disclosed by my current institution identified above on a deidentified basis to the NCAA in connection with, among other things, longitudinal research studies and compliance activities.

5. Subsequent NCAA Disclosure.

I acknowledge and understand that the NCAA may further disclose the information that it properly receives pursuant to the consents set forth in this Part II including, among other things, information regarding any NCAA reinstatement, infractions or waiver matter in which I may become involved while I am a student-athlete to the media, its committee members or any other third party: (a) for the purpose of evaluating, determining and/or confirming my eligibility for any aspect of participation in NCAA intercollegiate athletics and related programs; (b) to confirm, or correct any inaccuracy in, any statement reported publicly and related to any such matter; (c) with respect to any information it receives pursuant to Section 3 above, to recognize my selection for an NCAA-administered award (e.g., Elite Scholar Athlete Award); (d) without identifying me by name, to the extent required by NCAA regulations, policies or procedures; or (e) as may otherwise be required by law.

PART III: AMATEURISM.

1. Future Violations.

I affirm that I have read and understand the NCAA amateurism rules and I agree that I will promptly report to the director of athletics of my current institution identified above any violation of any such rule that occurs at any time after I sign this statement and while I am a student-athlete at the identified institution.

2. Historical Violations (Check One Box Below).

PART IV: DRUG TESTS.

1. Future Positive Drug Test Results.

I am aware of the NCAA drug-testing program. I have read and understand the related eligibility requirements and restrictions, and I have signed the 2025-26 Drug-Testing Consent Form (Form 25-3f). I agree that I will report my results and/or actions to the director of athletics of my current institution identified above in the event that I, at any time after I sign this statement and while I am a student-athlete at the identified institution: (a) test positive as part of any drug test administered by the NCAA, my current institution identified above or any of their respective authorized agents or representatives, and/or by or at the direction of any non-NCAA athletics organization or national or international athletics governing body; or (b) fail to appear for any scheduled drug test, or otherwise violate the drug-testing protocol of any of these parties.

2. Historical Drug Test Results (Check One Box Below).

PART V: SPORTS WAGERING/BETTING.

Sports Wagering Activity.

I affirm that I have read and understand the NCAA sports wagering rules, and I agree to cooperate with the institution and/or the NCAA in the timely reporting, preservation and development of full information related to all potential sports wagering activities. I also agree that if I violate the sports wagering rules of the NCAA and/or any non-NCAA national or international athletics governing body at any time after I sign this statement while I am still a student-athlete, I will promptly report this information to the director of athletics at the institution identified above.

1. Historical Sports Wagering Suspension (Check One Box Below).

PART VI: ACADEMIC ELIGIBILITY INFORMATION (First Year Only).

I affirm that, to the best of my knowledge, all information provided to my current institution identified above by me or on my behalf and related to my academic eligibility including, without limitation, information pertaining to test scores, high school attendance, completion of coursework and high school grades, is complete, valid and accurate.

PART VII: OTHER VIOLATIONS (Check One Box Below).

I agree to cooperate with the institution and/or the NCAA in the timely reporting, preservation and development of full information related to all potential violations of NCAA legislation.

PART VIII: INFORMATION PERTAINING TO FUTURE TRANSFER.

I consent and agree to disclose to authorized representatives of my current institution identified above any documents or information pertaining to my NCAA transfer eligibility and to allow authorized representative(s) of that institution to disclose my transfer status, the information in this form and any other information that may be part of my education records pertaining to my NCAA transfer eligibility to its conference (if any), the NCAA, other NCAA member institutions and their respective authorized agents for the purposes of facilitating any future transfer that I may pursue.

PART IX: TERMINATION/SURVIVABILITY OF STUDENT-ATHLETE STATEMENT.

I understand that I may for any or no reason, by providing written notice of the same to the director of athletics at my current institution identified above, voluntarily terminate the effectiveness of this Student-Athlete Statement and, relatedly, all of the agreements, consents and other representations contained in this form, with the understanding that any termination under this Part IX will automatically and simultaneously terminate my eligibility to participate in NCAA intercollegiate athletics. Any termination attempted under this Part IX will be effective upon the receipt of the required notice by the identified institution's director of athletics.

NOTE: Notwithstanding anything to the contrary in this Student-Athlete Statement, I agree that my consents and other representations described in Sections 1, 2 and 5 of Part II above will, solely for the purposes described in those Sections, survive and remain effective even after any termination or expiration of this Statement.

PART X: STUDENT-ATHLETE SIGNATURE. I agree that I have had an adequate opportunity to read the entire content of this Student-Athlete Statement and to discuss the same and any questions I have with my director of athletics (or their designee) and/or other advisors, and my signature below reflects my understanding of, and agreement with the same.

What to do with this form: Sign and return it to your director of athletics (or their designee) before your first competition. This form is to be kept in the director of athletics’ office for six years. (You will be submitting this form electronically to your institution's compliance office.)

Any questions regarding this form should be referred to your director of athletics (or their designee), your institution's NCAA compliance staff or you may contact the NCAA directly at 317-917-6222.

For: Student-athletes.
Action: Sign and return to your director of athletics. (You will be submitting this form electronically to your institution's compliance office.)
Due date: Before your institution's first competition.
Required by: NCAA Division III Bylaws 14.1.4 and 20.8.4.6.
Purpose: To assist in certifying eligibility.
Effective date: This consent form shall be effective from the date this document is signed and shall remain effective until a subsequent Drug-Testing Consent Form is executed.

 

Requirement to Sign Drug-Testing Consent Form.

You must sign this form prior to competing in intercollegiate athletics per NCAA Division III Bylaws 14.1.4 and 20.8.4.6. Before signing this form, you should review the relevant sections of the NCAA Division III Manual or a similar summary of NCAA regulations, as provided by your director of athletics. You are responsible for knowing and understanding the application of the NCAA drug testing program and all related NCAA Division III regulations. If you have any questions, you should discuss them with your director of athletics (or their official designee).

Consent to Testing.

You agree to allow the NCAA to test you in relation to any participation by you in any NCAA championship and in any postseason football game for drugs in the banned drug classes listed in Bylaw 31.2.3.1. See the NCAA Banned Drugs List for examples of drugs in each banned drug class. Note: There is no complete list of banned substances. Information on the NCAA Drug Testing Program (e.g., medical exceptions, appeals, etc.) can be found in the NCAA Drug Policies Brochure. Check Drug Free Sport AXIS at 816-474-7321 or axis.drugfreesport.com (Organization: NCAA Division III; access code: ncaa3) for questions about supplements, medications and banned drugs.

Consequences for a Positive Drug Test.

By signing this form, you affirm that you are aware of the NCAA drug-testing program, which provides:

1. A student-athlete who tests positive for an NCAA banned drug will be declared ineligible for participation in postseason and regular-season competition (unless a medical exception is granted);

2. A student-athlete who tests positive for a banned drug other than narcotics shall be withheld from competition in all sports for 365 days from the drug-test collection date and shall lose a year of eligibility. A student-athlete who tests positive for the use of a substance in the banned drug class narcotics shall be immediately declared ineligible and be withheld from competition for the next 50 percent of a season in all sports (50 percent of all contests or dates of competition in the season following the positive test);

3. A student-athlete who tests positive a second time for the use of any substance in a banned drug class other than narcotics shall lose all remaining regular season and postseason eligibility in all sports. A student-athlete who tests positive a second time for the use of a substance in the drug class narcotics shall be withheld from competition for 365 days from the date of the test and shall lose a year of eligibility;

4. A student-athlete who tests positive for the use of a substance in the drug class narcotics for the first time after having tested positive for the use of any substance in a banned drug other than narcotics shall be ineligible for competition for 50 percent of a season in all sports (the first 50 percent of regular season contests or dates of competition in the season following the positive test);

5. A student-athlete who tests positive has an opportunity to appeal the sanction(s) resulting from the positive drug test to the Committee on Competitive Safeguards and Medical Aspects of Sports. The committee’s determination shall be final, binding and conclusive and shall not be subject to further review by another authority as set forth in Bylaw 18.4.1.5.5;

6. The penalty for missing a scheduled drug test is the same as the penalty for testing positive for the use of a substance in a banned drug class other than narcotics;

7. A student-athlete who is found to have tampered with an NCAA drug test sample shall be charged with the loss of a minimum of two seasons of competition in all sports and shall remain ineligible for all regular season and postseason competition during the time-period ending two calendar years (i.e., 730 days) from the date of the test; and

8. If a student-athlete transfers to a non-NCAA institution while ineligible because of a positive NCAA drug test and competes in collegiate competition within the prescribed penalty at a non-NCAA institution, the student-athlete will be ineligible for all NCAA regular season and postseason competition until the student-athlete does not compete in collegiate competition for the entirety of the prescribed penalty.

 

Signatures.

By signing below, I consent:

1. To be tested by the NCAA in accordance with NCAA drug-testing policy, which provides among other things that:

     a. I will be notified of selection to be tested;

     b. I must appear for NCAA testing or be sanctioned for a positive drug test; 

     c. My urine sample collection will be observed by a person of my same gender; and

     d. Any specimen provided by me as part of the NCAA drug testing process shall be deemed to be the exclusive property of the NCAA.

2. To accept the consequences of a positive drug test or a breach of drug testing protocol;

3. To allow my drug test sample to be used by the NCAA drug testing laboratories for research purposes to improve drug testing detection; and

4. To allow disclosure of my drug testing results only for purposes related to eligibility for participation in NCAA competition.

I understand that if I sign this statement falsely or erroneously, I violate NCAA legislation on ethical conduct and will jeopardize my eligibility.

What to do with this form: Sign and return it to your director of athletics (or their designee) before your institution's first competition. This form is to be kept at the institution for six years. (You will be submitting this form electronically to your institution's compliance office.)

NCAA legislation requires that schools provide drug education to all student-athletes. The athletics director or athletics director's designee shall disseminate the list of banned-drug classes to all student-athletes and educate them about products that might contain banned drugs. All student-athletes should be notified that the list may change during the academic year and that updates may be found on the NCAA website (ncaa.org/drugtesting). They should also be informed of the appropriate athletics department procedures for disseminating updates to the list. Student-athletes should report use of all medications (e.g., prescribed, over the counter) to their primary athletics health care provider. It is the student-athlete's responsibility to check with the appropriate or designated athletics staff before using any substance, including supplements and medications.

The NCAA bans the following drug classes:

1. Stimulants.
2. Anabolic agents.
3. Beta blockers (banned for golf and rifle).
4. Diuretics and masking agents.
5. Narcotics.
6. Peptide hormones, growth factors, related substances and mimetics.
7. Hormone and metabolic modulators.
8. Beta-2 agonists.

Note: This is neither a complete nor exhaustive list. Any substance chemically/pharmacologically related to these classes is also banned. The school and the student-athlete shall be held accountable for all substances within the banned-drug class regardless of whether they have been specifically identified. Furthermore, schools should discuss and review student-athlete use of prescribed and over the counter medications. Examples of substances under each class can be found at ncaa.org/drugtesting. There is no complete list of banned substances.

Substances and Methods Subject to Restrictions:
1. Blood and gene doping.
2. Local anesthetics (permitted under some conditions).
3. Manipulation of urine samples.
4. Tampering of urine samples.
5. Beta-2 agonists (permitted only by inhalation with prescription).

Nutritional/Dietary Supplement and Medication Warning:
Before a student-athlete consumes any nutritional/dietary supplement or uses any medication, they should review the product and/or medication label with the appropriate athletics department staff.

1. There are no NCAA-approved nutritional or dietary supplements.

2. Nutritional/dietary supplements, including vitamins and minerals, are not well regulated and may cause a positive drug test.

3. Student-athletes have tested positive and lost their eligibility using nutritional/dietary supplements.

4. Many nutritional/dietary supplements are contaminated with banned drugs not listed on the label.

5. While third- party tested and low-level risk products may be options, complete elimination of risk is impossible.

6. All nutritional/dietary supplements are taken at the student-athlete’s own risk.

Athletics department staff should provide guidance to student-athletes about supplement use, including a directive to have any product checked by appropriate athletics department staff before consuming. The NCAA subscribes only to Drug Free Sport AXIS™ for authoritative review of label ingredients in medications and nutritional/dietary supplements. Contact AXIS at 816-474-7321 or axis.drugfreesport.com (access code: ncaa1, ncaa2 or ncaa3).

THERE IS NO COMPLETE LIST OF BANNED SUBSTANCES. DO NOT RELY ON THIS LIST TO RULE OUT ANY LABEL INGREDIENT.

Many nutritional/dietary supplements are contaminated with banned substances not listed on the label. It is the student-athlete's responsibility to check with the appropriate athletics staff before using any substance.

Stimulants:
Amphetamine (Adderall), Caffeine and sources of caffeine*, Cocaine, Dimethylbutylamine (DMBA; AMP), Dimethylhexylamine (DMHA; Octodrine), Ephedrine, Heptaminol, Hordenine, Lisdexamfetamine (Vyvanse), Mephedrone (bath salts), Methamphetamine, Methylhexanamine (DMAA; Forthane), Methylphenidate (Ritalin), Modafinil, Octopamine, Phenethylamine (PEA) and its derivatives, Phentermine, Synephrine (bitter orange).

*Sources of caffeine (e.g., Green tea extract, Guarana, Yerba Mate, etc.)

Exceptions: Phenylephrine and Pseudoephedrine are not banned.

Anabolic Agents:
Androstenedione, Boldenone, Clenbuterol, Clostebol, DHCMT (Oral Turinabol), DHEA, Drostanolone, Epitrenbolone, Etiocholanolone, Methandienone, Methasterone, Nandrolone (19-nortestosterone), Oxandrolone, SARMS [Ligandrol (LGD-4033); Ostarine; RAD140; S-23], Stanozolol, Stenbolone, Testosterone, Trenbolone.

Beta Blockers (banned for golf and rifle):
Atenolol, Metoprolol, Nadolol, Pindolol, Propranolol, Timolol.

Diuretics and Masking Agents:
Bumetanide, Canrenone (Spironolactone), Chlorothiazide, Furosemide, Hydrochlorothiazide, Probenecid, Triameterene, Trichlormethiazide.

Exceptions: Finasteride is not banned

Narcotics:
Buprenorphine, Dextromoramide, Diamorphine (heroin), Fentanyl and its derivatives, Hydrocodone, Hydromorphone, Meperidine, Methadone, Morphine, Nicomorphine, Oxycodone, Oxymorphone, Pentazocine, Tramadol.

Peptide Hormones, growth factors, related substances and mimetics:
BPC-157; Erythropoietin (EPO), Growth hormone (hGH), Human Chorionic Gonadotropin (hCG), Ibutamoren (MK-677), IGF-1 (colostrum; deer antler velvet), TB-500.

Exceptions: Insulin, Synthroid and Forteo are not banned.

Hormone and Metabolic Modulators:
Anti-Estrogen (Elacestrant, Fulvestrant), Aromatase Inhibitors [Anastrozole (Arimidex); ATD (androstatrienedione); Formestane; Letrozole], PPAR-d [GW1516 (Cardarine); GW0742], SERMS [Clomiphene (Clomid); Raloxifene (Evista); Tamoxifen (Nolvadex)].

Beta-2 Agonists:
Albuterol, Formoterol, Higenamine, Salbutamol, Salmeterol, Vilanterol.

Any substance that is chemically/pharmacologically related to one of the above drug classes, even if it is not listed as an example, is also banned.

Information about ingredients in medications and nutritional/dietary supplements can be obtained by contacting AXIS at 816-474-7321 or axis.drugfreesport.com (password ncaa1, ncaa2 or ncaa3).