Walk-On Certification Form Page 2
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COMPLIANCE OFFICE
It had been determined that the above named student is enrolled as a full-time student at UAlbany. This individual has been
added to the squad list and eligibility has been determined based upon the following:
BACKGROUND INFORMATION
A. Date of Initial Enrollment: _______________________
Date of UAlbany Enrollment: _____________________
B. Enrolled in 12 hours:
Yes
No
C. Completed:
Drug Testing Consent Form:
Full Signing Packet:
D. Freshmen
1. Qualifier Status Confirmed
Date: ___________________
2. Temporary Certification for Recruited Student-Athlete:
Date: ___________________
3. Temporary Certification for Non-recruited Student-Athlete
Date: ___________________
E. J.C. Transfer
1. Qualifier Status Confirmed
Yes
No
Date: ___________________
2. A.A. Degree
Yes
No
Date: ___________________
F. Transfer approval from former four year institution: Yes
No
G. Continuing Student:
________________________
ELIGIBILITY
A. Practice & Competition:
Yes
No
Dates: __________________
B. Practice Only:
Yes
No
Dates: __________________
C. Temporary Practice:
Yes
No
Dates: __________________
ADDITIONAL NOTES:
____________________________________________________
________________________
Compliance Office Signature
Date
Page 2 of 2
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