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Notice of Roster Deletion
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Notice of Roster DeletionSport: Student-Athlete’s Name: Stud. #_____________ Local Phone Number: _____________________Reason for deletion: (check one) Quit Team Cut/Dismissed from team** Date of roster change: / / Did this student-athlete receive coaching? Yes No Did this student-athlete play against outside competition? Yes No Is student-athlete on athletic scholarship? Yes No If yes, are you requesting cancellation of an athletics scholarship? Yes# No Coach’s Signature: Date: # Must complete the Scholarship Status Change Form. **Please provide rationale and attach any supporting documentation regarding the roster deletion. NOTE: The Sport Administrator and Director of Athletics signature will be required for roster deletions to become official. Approval of deletions should be requested before announcement to the student-athlete. ______________________________________________ ________________ Sport Administrator Signature Date Comments: _____________________________________________ _________________ Director of Athletics Signature Date Approved Denied Return completed form to William Morris,Compliance Office ULGC 
NIAGARA UNIVERSITY ATHLETIC DEPARTMENT VOLUNTARY WITHDRAWAL STATEMENT I, __________________________, voluntarily withdraw from the ______________team for personal reasons. As is stated in my Niagara University Athletics Award Agreement, by voluntarily withdrawing, I understand I am no longer eligible for intercollegiate athletics at Niagara University in the sport of _____________________. I also understand my athletic grant may be terminated during the period of its award. I release Niagara University from any further obligation to continue any athletic grant now available to me. ____________________________ _____________________ (Student-athlete’s signature) (Date)
Date Signature of Head Coach Step #3: Training Room Staff I confirm that this student-athlete has a current physical examination form and proof of insurance card on file in the training room. ______________________ ____________________________ Date Signature of Athletic Trainer Step #4: Associate Athletic Director for Compliance I confirm that this student-athlete is enrolled as a full-time student (minimum of 12 credit hours) at Niagara in the current semester. I also confirm that this student-athlete has completed the following: (1) NCAA Student-Athlete Statement, (2) NCAA Drug Testing Consent Form, and (3) Student-Athlete Information Form. ________________________________________________ __________________ Signature of Associate Director of Athletics for Compliance Date NIAGARA UNIVERSITY PARTICIPATION LIST Please send in your Participation List for each sport immediately after the completion of the respective season. Every student-athlete that competed in any contest during the year must be listed. Also, this list should include student-athletes who have been redshirted or who have competed but have or will receive a “Hardship Waiver”. Please return this form to the Athletic Compliance Office. SPORT: YEAR: 1. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs.Rem 2. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 3. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 4. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 5. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 6. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 7. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 8. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 9. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 10. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 11. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 12. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 13. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 14. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 15. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 16. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 17. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 18. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 19. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 20. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 21. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 22. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 23. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 24. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem 25. □ Competed □ Practiced Only □ Hardship □ Redshirted Yrs. Rem Head Coach (signature): Date: Associate AD - Compliance (signature): Date: Niagara University Department of Athletics Declaration of Coaching Staff & Permissible Recruiters Sport:___________________________ Academic Year:_____________ Listed below are the staff members for my sport, their designated coaching category, and off-campus recruiter status: Name Category Permissible Recruiter (Y/N) 1.________________________________________________________________________ 2.________________________________________________________________________ 3.________________________________________________________________________ 4.________________________________________________________________________ 5.________________________________________________________________________ Recruiting/Compliance Paperwork Liaison:________________________________ I understand that an individual who coaches and either is compensated or receives compensation or remuneration of any sort from the institution, even if such compensation or remuneration is not designated for coaching, shall be designated as a head coach, assistant coach, restricted coach, volunteer coach, graduate assistant coach, or an undergraduate assistant coach. An Department of Athletics staff member must count against coaching limits as soon as the individual participated (in any manner) in the coaching of the intercollegiate team in practice, games, or organized activities directly related to that sport, including and organized staff activity directly related to that sport. I hereby certify that I have read the statement above and the information is correct. In addition, I will immediately notify the Athletics Compliance Staff if any changes to the coaching staff are made. _____________________________________ ________________ Signature of Head Coach Date _____________________________________ ________________ Signature of Associate AD - Compliance Date N U SPORTS PRE- AND POST CAMP/CLINIC CHECKLIST
Camp/Clinic: Camp Dates: From: To: Name of Camp Director: PRE-CAMP/CLINIC REQUIREMENTS: OWNERSHIP OR OPERATION OF CAMP/CLINIC Yes No 51 percent owned by an athletic department employee Yes No Athletic department employee is personally and directly responsible for managing and operating the camp/clinic. Yes No Is this a developmental camp/clinic? EMPLOYEES Camp/clinic staff roster (see form: NU Sports Camp/Clinic Staff and Compensation Form) Written description of responsibilities for all employees (see form: NU Job Description for Employees) Written description of any benefits given to employees (i.e., transportation) ADS OR BROCHURES Copies of all advertisements, brochures or website links & materials [in advance of print or distribution] REGISTRATION Copy of application Written participation policies specifically outlining the following: Restrictions on participants (i.e., age, sex, number) The camp/clinic is open to any and all entrants Camp/clinic participation is first-come, first-served FEES Procedures for depositing and expending funds pertaining to registration fees (include location of funds) Written fee policies outlining the following: When discounts will be allowed Copies of all NU Free or Reduced Admission Recipient/Group Requests Description of refund policy CAMP/CLINIC ACTIVITIES Description of camp activities or schedule of events OUTSIDE SPONSORSHIP Documentation of any corporate sponsorship Documentation of sponsorship of any transportation AWARDS OR MERCHANDISE Written description of any awards that will be distributed to participants Written description of any free merchandise that will be provided to participants Written description of concession arrangements (i.e., types of merchandise, concession employees, etc.) POST-CAMP/CLINIC REQUIREMENTS: NU Camp/Clinic Final Registration List Copies of each camp/clinic application, including the following: School Grade Age Athletics Award Winner Copies of Cash Receipts/Money Orders/Checks NU Camp/Clinic Refund List NU Camp/Clinic Financial Report/Accounting Form FINAL NU Sports Camp/Clinic Staff and Compensation Form NU SPORT CAMP/CLINIC STAFF & COMPENSATION FORM
Camp/Clinic: Date: Total # of Staff: Total Salary Amount: Student-athletes *: Camp/Clinic Compensation/ Name Affiliation Staff Position Amount ** 1. 2. 3. 4. 5. 6. 7. 8. 9. 10. High-School / Two-Year College Coaches: Camp/Clinic Compensation/ Name Affiliation Staff Position Amount ** 1. 2. 3. 4. 5.
2. 3. 4. 5.
Employee Name Other: 2. Institutional Staff Member Student-Athlete H.S. Coach Employee Name Other: 3. Institutional Staff Member Student-Athlete H.S. Coach Employee Name Other: 4. Institutional Staff Member Student-Athlete H.S. Coach Employee Name Other: 5. Institutional Staff Member Student-Athlete H.S. Coach Employee Name Other: Mark all responsibilities of this employee and indicate approximate % of time allocated to each duty:
% Supervise participants between sessions % Supervise recreational activities % Supervise grounds % Keep time/score % Set-up or maintain facilities or equipment % Tear down facilities or equipment % Conduct educational sessions % Officiate/Referee % Lecture/Demonstrate % Coach (instruct drills, develop skills, coach games) % Other (describe): Submitted by Camp Director Date Approved by Associate AD for Compliance Date NU SPORTS CAMPS/CLINICS FINAL REGISTRATION LIST
Camp/Clinic: Date(s): Camper Count: # Residents # Commuters # Free/Reduced
Were any checks returned due to insufficient funds (please specify)? Yes No Name of Attendee(s): If yes, what means were used to collect the money? TOTAL AMOUNT PAID FOR ALL CAMPERS SHOULD BE RECORDED ON NU CAMP/CLINIC FINANCIAL REPORT/ACCOUNTING FORM, PAGE 1, LINES A-E. COMPLETE SEPARATE LOG FOR EACH SESSION OF CAMP/CLINIC. USE ADDITIONAL SHEETS IF NECESSARY. COMPUTERIZED VERSIONS WITH SAME INFORMATION MAY BE USED. * Copies of all cash receipts or checks should be maintained with the payment ledger/registration list. NU CAMP/CLINIC FINANCIAL REPORT /ACCOUNTING REPORT
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