Student-Athlete Statement - Division I

Part V: Results of Drug Tests

Please read and confirm below.

PLEASE READ AND SCROLL TO THE BOTTOM TO SIGN AND CONFIRM.

Future positive test - all student-athletes sign.
Should I test positive for a substance banned by the NCAA and/or by a non-NCAA national or international sports governing body; violate their drug-testing protocol; or fail to show for their drug test, at any time after I sign this statement, I acknowledge I must report the results to my director of athletics.

Do you agree to these terms?

Yes     No

Have you ever tested positive for a substance banned by the NCAA?

Yes     No
No Positive Drug Test

I affirm that I have never tested positive for a substance banned by the NCAA and/or by a non-NCAA national or international sports governing body; or violated their drug-testing protocol; or failed to show for their drug test.

Yes     No
Positive drug test

I have tested positive for a substance banned by the NCAA and/or by a non-NCAA national or international sports governing body; or violated their drug-testing protocol; or failed to show for their drug test. Should I consequently transfer, I am obligated to report this to the transferring institution.

    
Are you currently under such a drug-testing suspension?    Yes     No

Do you have follow up questions for the Compliance Office?

Yes     No