NJCAA AMATEURISM QUESTIONNAIRE

Name*

First NameLast Name

Which Sport are you playing?*

Date of Birth*

Date

What is your age?*

Please list ALL educational background information (highschool, college, etc).
Tuition paid by? Graduation Date? Where did you live while going to school there?

All Education Background ( High School, College, etc.)

	Years Attended	Country	Tuition Paid by (parents, coach, team, Government)	Graduation date	Where Did you Live?

All Athletics Participation:

	Team Name	Team Contact Information	League Affiliation	Dates of Participation	Numbers of Contests Played	List Expenses Received

1. Did you participate with any teams after your 19th birthday or full-time enrollment in college? *

YesNo

If Yes then please explain what team you participated and years of participation?edit..

2. Did you receive any money above expenses for your participation on any of the teams mentioned? *

YesNo

If Yes please explain what you received and which team(s) provided the payments?

3. Did any members of your team receive money above expenses for their participation on any teams on which you participated?*

YesNoI don't know

If Yes please indicate which team provided the payments above expenses to your teammates

4. Did you sign any type of agreement to participate on any teams mentioned Above?*

YesNo

If Yes please indicate for which team and please provide a copy of the agreement.

5. Did any of the team you participated on call themselves professional?*

YesNoI don't know

If Yes which teams.

6. Did you have a written or verbal agreement with an agent or agency to represent you while you were participating in athletics?*

YesNo

7. Have you or any of your family members ever accepted any benefits from an agent or anyone associated with an agent?*

YesNoI don't know

8. Have you accepted any benefits not listed on this form from anyone other than your parents? *

YesNo

9. Have you ever been involved in an advertisement or promotion? *

YesNoI don't know

If Yes please describe?

10.Have you ever accepted any prize money based on how your performed in a contest? *

YesNo

If Yes please complete the information below.

	Name of Team	Date of Competition	Name/Type of Competition	Prize Money Received	Expenses

1. How did you learn about this institution?

2. Who contacted you (Emails, letters telephone calls, in-person visits, etc ) and encouraged you to attend this institution?.

3. Please list all official visits taken.

4. 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?*

YesNoI don't know

If yes who assisted you?

Signature*

NJCAA AMATEURISM QUESTIONNAIRE

Additional Questions

Recruiting