Transfer Eligibility Form

Email address *

Full Name *

Transferred or Transfer Inquiry Institution Name *

Dates of Attendance at Current Institution (MM/DD/YYY - MM/DD/YYY) *

Name of Institution *

Did he/she participate (practice) in intercollegiate athletics at your institution? *

Yes No

Sport(s) Participated In *

Did he/she compete (game or scrimmage) in intercollegiate athletics at your institution? *

Yes No

Sport(s) Participated In *

How many seasons of eligibility have been utilized and in which sports(s)? *

How many semesters of full-time attendance (12 or more credits during the semester) were utilized? *

Would this student have been eligible had he/she remained at your institution? *

Yes No

Was the student under disciplinary suspension at your institution? *

Yes No

Did this student-athlete transfer to your institution from another two-year or four-year school? *

Yes No

Institution(s) Previously Attended *

Signature of Athletic Director/Designee *

By typing the name you confirm that the above information is complete and accurate.

Date *

Date Picker

* required field