Student-Athlete Statement - Division I

Part VI: Incoming Transfers - Previous Involvement in NCAA Rules Violation(s)

Please read and confirm below.

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

Have you previously attended a four-year NCAA Divisions I, II or III institution?

Yes     No

If yes, what is the name(s) of the institution(s)?

Are you aware of any NCAA violations you were involved in while previously attending an NCAA institution?
Yes     No

If yes, did this violation result in your being withheld from competition while attending your previous institution?
Yes     No

If you answered yes to either of the above questions, please provide an explanation.

Do you have follow up questions for the Compliance Office?

Yes     No