Ncaa Certification Of Compliance (Appendix A) Page 2

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Certification of Compliance for Staff
Members of Athletics Departments
Form 11-2
Page No. 2
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Name
Title
Signature
Date
(Print or type)
[include sport(s)]
M/D/Y
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What to do with this form:
1.
Attach completed form to Form 11-1 (Certification of Compliance for Institutions) not later than
September 15 and keep on file in the office of the director of athletics. It is not to be sent to the
NCAA national office.
2.
Contact the NCAA academic and membership affairs staff at the national office if you have
questions regarding Forms 11-1 and 11-2.

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