Swarthmore College
 Department of Athletics

 Student-Athlete Manual
A reference guide of policies and procedures for Swarthmore College
                       Intercollegiate Athletes

                                      Table of Contents

Department Directory                                                       P.3
Coaches’ Directory                                                         P.4
Sports Sponsorship                                                         P.4
Conference Affiliations                                                    P.5
Mission Statement                                                          P.6
NCAA DIII Philosophy Statement                                             P.7
Student Athlete Expectations                                               P.8
Hazing Policy                                                              P.8
Drug and Alcohol Policy                                                    P.9
Uniforms and Equipment                                                     P.9
Academic Eligibility and Financial Aid                                     P.9
Scheduling Conflicts                                                       P.10
Sports Information                                                         P.11
Sports Medicine                                                            P.11
Student Athlete Advisory Committee                                         P.12
Grievance Policy                                                           P.13
Team Travel                                                                P.14
Post Season                                                                P.14
Multi-Sport Participation                                                  P.14
Dismissal from Athletic Teams                                              P.15
Miscellaneous                                                              P.15

      Guidelines on Academic Conflicts                                     P.16
      NCAA Summary of Regulations                                          P.17
      NCAA Student Athlete Statement                                       P.24
      NCAA Drug Testing Consent                                            P.27
      HIPPA Consent Form                                                   P.28

The Swarthmore College Athletics Department maintains the following policies and guidelines
in an effort to assist with the understanding how the Intercollegiate Athletics Program operates.
This handbook will give the student an idea of what is expected of them when they participate
in one or more intercollegiate sport. Anyone with questions concerning the handbook or
athletics at Swarthmore should please contact the athletics office.



All numbers are (610) 328-XXXX, unless otherwise noted. All e-mails end with

Position                                         e-mail                        extension
Administrative Assistants:
Sharon Green                                     sgreen1                       8218
Marian Fahy                                      mfahy1                        8213

Director of Athletics:
Adam Hertz                                       ahertz1                       8325

Senior Woman Administrator / Associate Athletics Director:
Christyn Abaray                                  cabaray1                      8222

Assistant Athletics Director:
Karen Borbee                                     kborbee1                      8209

Faculty Athletics Representative:
Steve Miller                                     smiller1                      6063

Sports Information Director:
Mark Anskis                                      manskis1                      8206

Equipment Room Managers:
Ray Scott                                        rscott2                       8221
Larry Yanelli                                    lyannel1                      8546

Sports Medicine:
Marie Mancini                                    mmancin1                      8223
Jessica Lydon                                    jlydon1                       8327
Allison Hudak                                    ahudak1                       8327

Public Safety                                                                  8333

Worth Health Center                                                            8058

Athletics Fax Number                                                           7798

Mullan Center                                                                  7785


                                   Head Coach Directory

Sport                                Coach                                Number
Badminton                            Bhavin Parikh                        8218
Baseball                             Stan Exeter                          8216
Basketball, Men                      Lee Wimberly                         8219
Basketball, Women                    Renee DeVarney                       8089
Cross Country / Track & Field        Peter Carroll                        8683
Field Hockey                         Lauren Fuchs                         610-690-6884
Golf                                 Jim Heller                           610-957-6173
Lacrosse, men                        Pat Gress                            8208
Lacrosse, Women                      Karen Borbee                         8209
Soccer, Men                          Eric Wagner                          610-690-6882
Soccer, Women                        Todd Anckaitis                       8210
Softball                             Renee Clarke                         610-690-6883
Swimming, M&W                        Sue Davis                            8211
Tennis, Men                          Mike Mullan                          8212
Tennis, Women                        Jeremy Loomis                        8204
Volleyball                           Harleigh Chwastyk                    8217

                          Swarthmore College Athletics Program

Swarthmore College offers the following varsity programs for student participation.

Fall Sports                  Winter Sports                        Spring Sports
M. Cross Country             M. Basketball                        Baseball
W. Cross Country             W. Basketball                        Golf
Field Hockey                 Badminton                            M. Lacrosse
M. Soccer                    M. Indoor Track & Field              W. Lacrosse
W. Soccer                    W. Indoor Track & Field              M. Outdoor Track & Field
W. Volleyball                M. Swimming                          W. Outdoor Track & Field
                             W. Swimming                          Softball
                                                                  M. Tennis
                                                                  W. Tennis


                                   Conference Affiliations

Swarthmore College is a charter member of the Centennial Conference. Established in 1992,
the purpose of the eleven-member conference is to provide for athletic competition with
institutions that share similar academic aspirations and are committed to the importance of the
total educational experience for students engaged in sports. The complete Centennial
Conference Mission Statement may be found on the Conference web page,

                          Centennial Conference Member Institutions

               Bryn Mawr College                          McDaniel College
               Dickinson College                          Muhlenberg College
               Franklin & Marshall College                Swarthmore College
               Gettysburg College                         Ursinus College
               Haverford College                          Washington College
               Johns Hopkins University                   *Washington and Lee University
               *Stevens Institute of Technology           *US Merchant Marine Academy
               **Juniata College                          **Moravian University
                              *Associate member for wrestling
                              **Associate member for football

Swarthmore is also a member of the Eastern College Athletic Conference (ECAC). The ECAC
is the largest collegiate conference in the nation and includes colleges and universities in all
three NCAA Divisions from Maine to North Carolina. Membership in the ECAC affords our
sports teams additional competition and added championship opportunities.

Nationally, Swarthmore College is affiliated with the National Collegiate Athletic Association
(NCAA) Division III. Swarthmore College embraces the NCAA Division III philosophy (pg.
7). Institutions with membership at the NCAA Division III level do not provide scholarships
related to athletic ability or participation.

            Department of Athletics and Physical Education Mission Statement

At every level, from physical education, to intramural, club or intercollegiate, athletics should
contribute to a student’s education and health, promoting the values of physical fitness and
wellness. The Swarthmore College Athletics program endeavors to provide students with an
opportunity to compete successfully and / or maintain a lifestyle of wellness at any level.
Department faculty and staff provide an environment that welcomes individuals at all levels
and will work with classes, teams, groups or individuals to promote the values of wellness and
teach proper training technique.

The department views opportunities in intercollegiate athletics as integral to the educational
experience. The department seeks to promote an environment that emphasizes fair play,
integrity, sportsmanship, education and overall health and fitness. Students participating in the
intercollegiate athletics program can benefit from the values and lessons taught through sport
including teamwork, commitment, perseverance and communication, among others.

Embracing the objectives and purpose of the College and the Division III philosophy, the
athletics program provides opportunities for students to compete and develop successfully,
grow as responsible citizens, and maintain a varied program of educational experiences. The
Swarthmore program can help students realize their full potential both athletically and
intellectually as teammates and individuals.

Members of the department’s faculty and staff seek to steadily improve the quality of the
athletics experience through professional development, conferences, and department meetings.
The department is committed to providing the best possible facilities, faculty and staff to ensure
a positive athletic experience and an appropriate balance between athletics and other aspects of
college life.

The Intercollegiate Athletics program will comply with the standards set forth by the National
Collegiate Athletic Association, the Eastern College Athletic Conference, and the Centennial
Conference. The department will adhere to State and Federal regulations that directly impact
coaches, students and intercollegiate athletics.

Swarthmore College athletics programs have the following specific objectives:

1. Operate in an environment consistent with the mission of the college.
2. Provide the best athletic experience possible without sacrificing academic integrity.
3. Support students in their efforts to reach high levels of performance by providing them with
   proper facilities, competent coaching, and appropriate competitive intercollegiate
4. Encourage participation through the opportunity to compete.
5. Observe, develop and promote good sportsmanship.
6. Encourage the integration of student-athletes into the institutional life of the college.
7. Instill the realization that many of the traits necessary for athletic success are also
   fundamental for success in life.
8. Compete while maintaining the highest regard for ethical practices and procedures.

                          NCAA Division III Philosophy Statement

Colleges and Universities in Division III place highest priority on the overall quality of the
educational experience. In doing so, they seek to strengthen the integration of objectives and
programs in athletics with academic and developmental objectives and to assure the integration
of athletes with other students.

The following statement is not binding on member institutions but shall serve as a guide for the
preparation of legislation by the division and for planning and implementing programs by
institutions and conferences.

Division III member institutions place special importance on the impact of athletics on the
participants rather than on spectators and place greater emphasis on the internal constituency
(students, alumni and special friends) than on the general public and its entertainment needs. To
achieve this end, the athletics program in Division III:

(a) Encourages participation by maximizing the number and variety of athletics opportunities in
varsity, club, and intramural sports;

(b) Ensures that participants receive the same treatment as other students. They have no unique
privileges in admissions, academic advising, course selection, grading, living
accommodations, or financial aid. Similarly, athletes are not denied rights and opportunities
that would be available to them as non-athletes;

(c) Is controlled, financed, and staffed through the same general procedures as other
departments of the college;

(d) Gives equal emphasis to men and women's sports, and the desired quality of competition is
similar in all sports. Participant interests will be one factor considered in the determination of
the level of support provided by the college to each sport;

(e) Supports students in their efforts to reach high levels of performance by providing them
with adequate facilities, competent coaching, and appropriate competitive opportunities with
students from similar institutions, and

(f) Gives primary emphasis to in-season competition, but exceptional teams and individuals
may be encouraged through postseason championships.

The purpose of the NCAA is to assist its members to develop this approach as the basis for
consistent, equitable competition and to do so in ways that minimize infringement on the
freedom of individual institutions to determine their own special objectives and programs.

                                 Student-Athlete Expectations

It is considered a privilege, and not a right, to be a member of an intercollegiate athletic team at
Swarthmore. Membership on an athletic team means accepting the responsibility of
representing one’s self, the team, and the college in a positive and appropriate manner.

 Any behavior exhibiting racial, ethnic, religious, or sexual harassment is prohibited. Physical
or verbal abuse of any member, guest, or host of the College (including officials, opposing
teams, etc.); disruptive or disorderly conduct; or any offensive or anti-social behavior will not
be tolerated and may result in disciplinary action.

Student conduct checklist:

1. Put forth a conscientious, positive effort in all athletic endeavors
2. Encourage sportsmanship and ethical play in all situations
2. Be humble in victory and gracious in defeat, congratulating the opponent after competition
3. Control temper in all situations
4. Be courteous to officials
5. Do not incite fans
6. Do not criticize team circumstances, coaches, or teammates publicly
7. Observe the Guidelines on Scheduling Conflicts
8. Understand and abide by team, department and college rules and regulations
9. Respect and give proper care to facilities, uniforms, and equipment
10.Return all issued equipment on time
11.Recognize that you represent yourself, your team and your institution while competing and


Hazing is defined as any action or situation which recklessly or intentionally endangers the
mental or physical health or safety of a student or which willfully destroys or removes public or
private property for the purpose of initiation or admission into or affiliation with, or as a
condition for continued membership in, any organization operating under the sanction of or
recognized as an organization by an institution of higher education. The term shall include, but
not be limited to, any brutality of a physical nature, such as whipping, beating, branding, forced
calisthenics, exposure to the elements, forced consumption of any food, liquor, drug or other
substance, or any other forced physical activity which could adversely affect the physical health
and safety of the individual, and shall include any activity which would subject the individual
to extreme mental stress, such as sleep deprivation, forced exclusion from social contact, forced
conduct which could result in extreme embarrassment, or any other forced activity which could
adversely affect the mental health or dignity of the individual, or any willful destruction or
removal of public or private property. For purposes of this definition, any activity as described
in this definition upon which the initiation or admission into or affiliation with or continued
membership in an organization is directly or indirectly conditioned shall be presumed to be
"forced" activity, the willingness of an individual to participate in such activity
notwithstanding. ---Source: stophazing.org

 Pennsylvania State law prohibits hazing of any kind. Hazing of any Swarthmore athlete will
not be tolerated and will result in disciplinary action,

                                   Drug and Alcohol policy

Pennsylvania state law prohibits the purchase, possession or consumption of alcohol by anyone
under the age of 21. The Department of Athletics recognizes Pennsylvania State law and
endorses the policies of the college with regard to activities while on campus. However, The
Department also maintains a policy that prohibits possession and/or consumption of alcoholic
beverages or other illegal drugs by any student-athletes or other students during normal official
team or departmental functions. This policy is enforced from the time a team or individual
leaves campus, until their return.

The Department of Athletics does not condone alcohol use by anyone under the age of 21,
including perspective students visiting campus. Perspective students will be made aware of this
policy in advance of their visit. Student-athletes who host prospective student-athletes during
the year should not encourage under age drinking. Coaches should communicate and
reiterate this policy to all student hosts throughout the year.

                                  Uniforms and Equipment

Students issued uniforms, practice gear and equipment must assume responsibility for returning
each item at the end of the season. Lost or stolen items are the responsibility of the borrower.
Any equipment not returned will be billed to the student. All equipment will be billed at the
replacement cost.

Equipment Room
Equipment managers will issue team members practice gear, a laundry bag and a combination
lock for lockers. Swarthmore College personnel will clean practice clothing and uniforms.
Please, do not put personal items in the laundry nets for washing. The equipment room
manager reserves the right to open the laundry net bags and remove personal belongings should
they be included.
Uniform clothing is to be returned to the equipment room or the coach immediately following
the scheduled competition. Uniforms should not be placed in the net bag.

                           Academic Eligibility and Financial Aid

A student must demonstrate satisfactory progress toward a degree in accordance with
Swarthmore College and NCAA standards for all students in order to be eligible to participate
in intercollegiate athletics. The student must also be enrolled as a full-time student. According
to the Swarthmore College Bulletin, normal progress toward the degree of Bachelor of Arts or
Bachelor of Science at Swarthmore is made by eight semesters’ work of four courses or the
equivalent each semester, for a total of 32 credits.
The following number of credits is considered satisfactory progress, however those receiving
aid must enroll and earn at least four credits per semester.
Three to four credits per semester.
Six to eight credits after first year.
14-16 credits after second year.
22-24 credits after third year.

Financial aid application materials are mailed to every admitted Swarthmore students.
Continuing students will automatically be sent renewal application materials each winter for the
next academic year. As such, the college reviews each student’s financial situation annually.
Swarthmore College is an NCAA Division III institution and cannot award financial
scholarship based on athletic performance. Any student may elect to apply for a campus job.
The student employment office offers an orientation session each August, and continuing
students may seek possible employment by visiting the student employment office.

                                         Scheduling Conflicts

In May 2002 the Faculty adopted a set of guidelines to address the issue of scheduling
conflicts. The document, intended to help guide students, faculty and coaches in times of
conflict, was developed and proposed to the faculty by the Athletic Review Committee and the
Curriculum Committee of the college. A copy can be found in Appendix A of this document.
Your coach will have additional copies, should you need one. Please read and use the
Guidelines when addressing scheduling conflicts. Primary obligations include the following.

1. Students who have potential class / game conflicts must present faculty with a copy of their
   competition schedules, including departure, or meeting time, at the beginning of their
2. A student may not be excused from an activity other than a competition. Practices, team
   meetings or other athletic functions will not be considered.
3. If a game is postponed, students are expected to attend any classes they had anticipated
   missing for that competition.
4. Students are responsible for arranging to make up all missed course work. Papers or tests
   should be handed in or taken before the missed class.

                                         Sports Information

In order to best serve you as a Swarthmore College student-athlete, the Department of Athletics
is ready to assist you in dealing with possible interview and photograph requests by media
personnel. Before agreeing to any interview or photograph, please contact the athletics office
for approval.

We want to protect you as a student-athlete as well as promote your achievements and those of
your teammates. With your cooperation, we can properly coordinate any interview session, as
well as provide necessary academic, biographical and statistical information about you during
your career at Swarthmore College. Additionally, we can be present to help with any questions
about the general state of the program or department.

If you are contacted directly by the media, or have any questions concerning this policy, please
contact Mark Anskis, Sports Information Director, at extension 8206.


                                        Sports Medicine

Any injuries are to be reported to the athletic trainers and coaches. Athletic Trainers will assess
injuries and implement a course of treatment or refer the student to the appropriate medical
specialist. Students are responsible for complying with treatment protocols and maintaining
contact with the training room. Coaches may not permit injured students to practice or compete
until the sports medicine office has cleared them.

Injuries that occur not in the course of practice or competition should be reported to the Worth
Health Center. Worth Health Center is staffed with nurses 24 hours a day and has physicians
hours Monday through Friday.

Physical Examinations And Insurance
The Athletic Department is fully committed to the health and welfare of the student-athletes
participating in intercollegiate athletics and hopes to provide a safe environment by providing
qualified sports medicine personnel and state of the art athletic training facilities. The sports
medicine department is staffed with NATA certified athletic trainers. Premier Orthopaedic
Associates offers 24 hour on call orthopaedic consultations and provides in-person evaluations
in the sports medicine office every Monday night.

All freshmen and new intercollegiate athletes must have a physical examination completed by
his or her doctor before entering Swarthmore College. Copies of the completed physical
examination should be on file at Worth Health Center prior to the start of practice. The sports
medicine department will conduct annual screenings in conjunction with Worth Health Center.
A medical history, updated insurance information and participation agreement will be
completed annually by each student-athlete.

Swarthmore College requires all students to carry medical insurance. The Department of
Athletics provides secondary insurance for intercollegiate athletes and club sports participants
of specific sports. This insurance covers injuries that are sustained during official supervised
practice or competition in intercollegiate or specified club sports only. Injured students must
see a member of the sports medicine staff and fill out a claim form within 10 days of the injury.
Claims must be submitted to primary insurance companies first. Once bills showing remaining
balances and explanations of benefits are generated by the primary insurance company they can
then be submitted to sports medicine office. The NCAA provides catastrophic insurance for
claims in excess of $90,000.

Treatment of Illness
All illnesses that might interfere with the ability to practice or compete should be reported to
the athletic training staff and your coach as soon as possible. A member of the sports medicine
office will make the appropriate referral to Worth Health Center for evaluation.

Sports Medicine Staff:
Marie Mancini, ATC, Head Athletic Trainer
Jessica Lydon, ATC, Assistant Athletic Trainer
Allison Hudak, ATC, Assistant Athletic Trainer


                             Student Athlete Advisory Committee

Sponsored by the Athletic Department, the Student-Athlete Advisory Committee (SAAC)
consists of representatives from all the sponsored intercollegiate sports. Representatives are
selected from each team by the coaches and team members. Representatives meet regularly to
discuss issues pertinent to athletics both at Swarthmore and nationally. Goals are set annually
and may include developing department-wide policies, instituting new programs, and
discussing ways to improve the quality of the athletic experience.

Student Athlete Advisory Committee Constitution
Section 1. To serve as a liaison between students and representatives of the department of
Section 2. To provide a forum for the student-athletes to voice their concerns and ideas to the
athletic administration, and for the administration to respond to those issues.
Section 3. To serve as advocates for the welfare of fellow student-athletes, as a team, or as

Section 1. Each member must be enrolled at Swarthmore College as a full-time student and be
listed as an active member on a varsity team roster.
Section 2. Each member will be selected by the head coach of his or her team.
Section 3. Members of the committee are expected to be role models and act responsibly. A
member whose actions are deemed unfitting will be in jeopardy of suspension or removal from
the committee.
Section 4. Members are expected to attend all meetings of the committee.

Section 1. Officers will be: Chair, Co-Chair, and Secretary.
Section 2. Officers will be elected at the last spring meeting for the following year.
Section 3. The Chair and Co-Chair will be juniors or seniors in the class.
Section 4. Committees will be formed as needed.

Section 1. Meetings will be held regularly, as well as at the request of the Chair, Co-Chair,
SAAC Advisor or a representative of the department of athletics.

                            Student-Athlete Grievance Procedure

This procedure is intended to aid student-athletes in the proper method of voicing concerns
about a member of the Swarthmore College Athletics staff. This procedure should only be
initiated if the student-athlete is unable to discuss the concern with the department member or,
if after discussion no accord was reached.

1. The student-athlete should contact the Athletic Director's office and request an appointment.

2. Prior to, or at the time of the appointment, the student-athlete should submit a brief written
statement concerning the grievance.

3. The Athletic Director and student athlete will meet to discuss the grievance. If appropriate,
athletic faculty or student-athletes will attend the meeting upon the agreement of the Athletic
Director and the student-athlete initiating the grievance.

4. In the event that the grievance cannot be resolved, the Provost may become involved to
facilitate the process.

               Advisory Committee on Physical Education and Athletics

The ACPEA is a campus committee charged with oversight of the College’s physical education
and athletics programs. Each year, the ACPEA writes an assessment of the Intercollegiate
Athletics Program, tracking progress and suggesting areas of strength and weakness.
Suggestions may be given to the Chair of the ACPEA, who may bring them to the attention of
the entire committee.

                                          Team Travel

Students are, as a general rule, expected to travel with the team to all contests and practices.
When students cannot travel with the team, they must complete a travel waiver, available in the
athletic office, and have a parent contact the front office giving verbal approval for the student
to travel independently of the team. Swarthmore College cannot be responsible for any activity
or incident while students are traveling independently of the team.

While traveling, students are expected to conduct themselves responsibly and within the
context of State, Institutional, Departmental and team regulations. Understanding that
members of traveling parties are representing Swarthmore College, failure to abide by rules,
laws and policies may have punitive results.

Students may be asked to make a financial commitment for certain team trips deemed
extraordinary to normal departmental travel. These may include spring, winter and fall break
trips and other extended stay competitions. In these instances, the student is financially
responsible for their ticket. Should the student, after purchase of such ticket, decide that they
do not want to travel, that student will not be eligible for a refund of the ticket. Extenuating
circumstances will be dealt with on an individual basis.

                         Participation in Post-Season Championships

Swarthmore College representation in regional or national championships, team and individual,
will be predicated, in part, upon the following criteria:
1. A realistic appraisal of the competition level in the Centennial or Conference, as it compares
to the national competition setting.
2. The level of athletic achievement reached by the athlete or team in conference competition
3. Season long consistency of the individual or team.
4. Cost considerations and exposure value.
5. Any qualifying standards that may exist.

                               Multiple Participation in Sports

Multi-sport competition is permitted and encouraged provided that the following:
1. The student will compete fully in each season of play.
2. The student-athlete who selects to play two sports during the same season will do so
after consultation with the coach of both sports and the Athletic Director.
3. A student-athlete may not change teams during the season without written permission
of the coach of the sport he /she is presently participating in, the Athletic Director, and the
coach of the team to which he / she is transferring.
4.     Students will complete one season in its entirety before commencing practice or
competition with the next sport.

Coaches will not discourage athletes from multi-sport participation or participation in other
extra-curricular activities at Swarthmore College. Infractions should be reported to the Athletic

                                Dismissal from Athletic Teams

1. A student-athlete may be removed from an athletic team at any time that the coach and
Athletic Director feel that the student has violated the philosophy, guidelines, or principles of
the team, Swarthmore College or the NCAA.

2. Student-athletes facing such disciplinary action may appeal before a committee consisting of
the Athletic Director or designee, Faculty Athletic Representative, and the Chair of the
Advisory Committee on Physical Education and Athletics (ACPEA).


The following list includes some, but not all, of what are considered "extra benefits" by the
NCAA and therefore may not be provided to student-athletes by representatives of the
department of athletics:

       A loan of money in any amount.

       The use of an automobile.

       The purchase of a meal or service at commercial establishments.

       Transportation to or from a summer job.

       Signing or co-signing a note with an outside agency to arrange a loan.

       The use of personal property (e.g., boats, summer homes, cars, stereos).

       Providing Christmas or birthday gifts.

Note: Student athletes should be aware that the NCAA reserves the right to drug test during
post-season competition. All Swarthmore College student athletes will be subject to NCAA


                                                   Appendix A

             Guidelines on Scheduling Conflicts Between Academics and Athletics
                                       Adopted by the Faculty May 20, 2002

The following guidelines are affirmed by the faculty in order to recognize both the primacy of the academic
mission at Swarthmore and the importance of the intercollegiate athletic program for our students. The guidelines
are meant to offer direction with an appropriate degree of flexibility. Where conflicts occur, students, faculty, and
coaches are encouraged to work out mutually acceptable solutions; faculty and coaches are also encouraged to
communicate with one another about such conflicts. Note that the guidelines make a firm distinction between
athletic practices and competitive contests.

1.    Regular class attendance is expected of all students. Students who are participating in intercollegiate
      athletics should not miss class, seminar, or lab for practice.

2.    Students who have a conflict between an athletic contest and a required academic activity, such as a class
      meeting or a lecture, should discuss it and try to come to an understanding regarding the conflict with their
      coach and their professor as soon as possible, preferably during the first week of the semester and certainly
      in advance of the conflict. When a mutually agreeable understanding is not reached, students should be
      mindful of the primacy of academics at Swarthmore. Students should understand that acceptable
      arrangements might not be feasible for all classes, particularly seminars and laboratories.

3.    Students should take their schedule of athletic contests into account as they plan their class schedules and
      may want to discuss this with their academic advisors. Students should provide coaches with a copy of
      their academic schedules and inform them promptly of any changes.

4.    Coaches should make every effort to schedule practices and contests to avoid conflict with classes and
      should collect their students' academic schedules in an effort to coordinate team activities and minimize
      conflict. Coaches should instruct students not to miss class for practice and should encourage students to
      work out possible conflicts between classes and contests as early as possible.

5.    Faculty should provide as complete a description of scheduling requirements as possible to their classes
      early each semester (preferably before registration or during the first week of classes); faculty and coaches
      alike should work with students to resolve contest-related conflicts.

6.    Coaches and faculty alike should avoid last-minute scheduling changes whenever possible, and faculty
      should normally avoid scheduling extraordinary class meetings. Where such meetings seem desirable,
      students should be consulted, and as the Faculty Handbook stipulates, the arrangement cleared with the
      Department Chair and Registrar (Faculty Handbook 2001, p. 61). Where possible, extraordinary sessions
      should be voluntary or offered with a choice of sections to attend. When a schedule is changed after
      students have arranged their commitments, it is important for the faculty member or coach to be flexible.

7.    Normally classes will end each day by 4:00 (5:00 on Fridays). Seminars will often extend beyond 4:00.
      Afternoon laboratories are usually scheduled until 4:15 or 4:30, and students who encounter difficulties
      completing a lab may need to stay later than the scheduled time. Students in all cases are expected to keep
      to their academic commitments and then attend practices as soon as possible.

8.    Faculty should recognize that the time from 4:15 to 7:00 p.m. is heavily used by students for extracurricular
      activities and dinner. This late afternoon time has also traditionally been used for certain courses in the
      performing arts. Some use of this time for other academic purposes (such as department colloquia, lectures,
      etc.) is appropriate, but departments are encouraged to exercise restraint in such use, particularly with
      respect to activities they judge important for the full academic participation of students.

                                               Appendix B
                                                                                   Academic Year 2009-10

This summary of NCAA regulations contains information about your eligibility to compete in
intercollegiate athletics.
This summary has two parts:
1. Part I is for all student-athletes.
2. Part II is for new student-athletes only (those signing the Student-Athlete Statement for the first
If you have questions, ask your director of athletics (or his or her official designee) or refer to the 2009-
10 NCAA Division III Manual. The references in brackets after each summarized regulation show you
where to find the regulation in the Division III Manual.
Part I: For All Student-Athletes.
This part of the summary discusses ethical conduct, amateurism, financial aid, academic standards and
other regulations concerning your eligibility for intercollegiate competition.
1. Ethical Conduct – All Sports:
         a. You must act with honesty and sportsmanship at all times so that you represent the honor and
                   dignity of fair play and the generally recognized high standards associated with
                   wholesome competitive sports. [NCAA Bylaw 10.01.1]
         b. You are not eligible to compete if you knowingly provide information to individuals
                   involved in organized gambling activities concerning intercollegiate athletics
                   competition, solicit a bet on any intercollegiate team, accept a bet on any team
                   representing the school or solicit or accept a bet on any intercollegiate competition for
                   any item (e.g., cash, shirt, dinner) that has tangible value. [Bylaw 10.3]
         c. You are not eligible to compete if you knowingly participate in any gambling activity that
                   involves intercollegiate or professional athletics, through a bookmaker, a parlay card or
                   any other method employed by organized gambling. [Bylaw 10.3]
         d. You are not eligible to compete if you have shown dishonesty in evading or violating NCAA
                   regulations. [Bylaw]
2. Amateurism − All Sports:
         a. You are not eligible for participation in a sport if after full-time collegiate enrollment you
                   have ever:
                   (1) Taken pay, or the promise of pay, for competing in that sport;
                   (2) Agreed (orally or in writing) to compete in professional athletics in that sport;
                   (3) Played on any professional athletics team (as defined by the NCAA) in that sport; or
                   (4) Used your athletics skill for pay in any form in that sport. (Prior to collegiate
                           enrollment an individual may accept prize money based only on his or her place
                           finish or performance from the sponsor of an open athletics event, the United
                           States Olympic Committee or the appropriate national governing body and
                           actual and necessary expenses associated with the individual's practice and
                           competition on a professional team.) [Bylaw l2.1.1]
         b. You are not eligible in a sport if you ever have accepted money, transportation or other
                   benefits from an agent or agreed to have an agent market your athletics ability or
                   reputation in that sport. [Bylaw 12.3.1]
         c. You are not eligible in any sport if, after you become a student-athlete, you accept any pay
                   for promoting a commercial product or service or allow your name or picture to be used
                   for promoting a commercial product or service, unless:
                    (1) The individual became involved in such activities for reasons independent of
                           athletics ability;
                   (2) No reference is made in these activities to the individuals involvement in
                           intercollegiate athletics; and

                  (3) The individual’s remuneration under such circumstances is at a rate commensurate
                           with the individual’s skill and experience as a model or performer and is not
                           based in any way on the individual’s athletics ability or reputation. [Bylaw
        d. You are not eligible in any sport if, because of your athletics ability, you were paid for work
                  you did not perform, or were paid at a rate higher than the going rate. [Bylaw 12.4.1]
3. Delayed Collegiate Enrollment.
        • The following rules are applicable to all Division III student-athletes first entering a collegiate
                  institution on or after August 1, 2002:
                  o If you did not enroll in college as a full-time student at your first opportunity
                           following the graduation of your high-school class or if you discontinued full-
                           time high-school enrollment and you participated in any of the activities listed
                           below, you have used a season of intercollegiate competition for each calendar
                           year or sport season in which you participated in such activities. [Bylaw
4. Activities Constituting Use of a Season:
        a. Any team competition or training in which pay in any form is provided to any of the
                  participants above actual and necessary expenses;
        b. Any individual competition or training in which the individual accepts pay in any form based
                  on his or her place finish or any competition or training in which the individual accepts
                  pay in any form above actual and necessary expenses;
        c. Any competition pursuant to the signing of a contract for athletics participation or entering a
                  professional draft; or
        d. Any competition funded by a representative of an institution's athletics interest that is not
                  open to all participants. [Bylaw]
If you have used a season(s) of competition according to the regulations above, you must also fulfill an
academic year in residence prior to being eligible to represent your school in intercollegiate
competition. [Bylaw]
5. Competition Exceptions (for delayed collegiate enrollment):
           o If you participated in organized competition while enrolled in a post-graduate college
           preparatory school during the initial year of enrollment, you did not use a season of
           competition. In addition, a maximum one-time one-year exception is applicable for
           participation in the Olympic Games tryouts and competition, and other specified national and
           international competition. [Bylaw]
6. Seasons of Participation – All Sports:
        a. A student-athlete must count a season of participation when he or she practices or competes
        during or after the first contest following the student-athlete's initial participation at that school.
        b. A season of participation shall not be counted when a student-athlete participates in a
        preseason scrimmage or preseason exhibition conducted prior to the first contest in the
        traditional segment following the student-athlete's initial participation at that school, or when a
        student-athlete participates in the one date of competition during the nontraditional segment in
        baseball, field hockey, la-crosse, soccer, softball and women’s volleyball (effective August 1,
        2009) [By-law]
        c. A season of participation shall not be counted when a student-athlete practices in the
        nontraditional sports segment. [Bylaw]
7. Financial aid - All Sports:
        a. You are not eligible if you receive financial aid other than the nonathletic financial aid that
        your school distributes. However, it is permissible to receive:

                 (1) Money from anyone on whom you are naturally or legally dependent; [Bylaw

               (2) Financial aid that has been awarded to you on a basis other than athletics ability; or
               (3) Financial aid from an entity outside your school that meets the requirements
               specified in the Division III Manual. [Bylaw]
       b. You must report to your school any financial aid that you receive from a source other than
       your school. However, you do not need to report financial aid received from anyone on whom
       you are naturally or legally dependent. [Bylaw]
8. Academic Standards − All Sports:
       a. Eligibility for Practice.
               (1) You are eligible to practice if you are enrolled in a minimum full-time program of
               studies leading to a baccalaureate or equivalent degree as defined by the regulations of
               your school. [Bylaw]
               (2) You are eligible to practice during the official vacation period immediately before
                         initial enrollment, provided you have been accepted by your school for
                         enrollment in a regular, full-time program of studies at the time of your initial
                         participation, you are no longer enrolled at your previous school, and you are
                         eligible under all school and NCAA requirements. [Bylaw]
               (3) You also are eligible to practice while enrolled in less than a minimum full-time
                         program of studies if you are enrolled in the final semester or quarter of a
                         baccalaureate program and your school certifies that you are carrying (for
                         credit) the courses necessary to complete your degree requirements. [Bylaw
       b. Eligibility for Competition.
               (1) To be eligible to compete, you must:
                         (1) Have been admitted as a regularly enrolled, degree seeking student
                         according to the published entrance requirements of your school;
                         (2) Be in good academic standing according to the standards of your school;
                         (3)Be enrolled in at least a minimum full-time program of studies leading to
                         baccalaureate or the equivalent (not less than 12 semester or quarter hours) and
                         maintain satisfactory progress toward that degree, be enrolled in a full-time
                         graduate or professional degree program (as defined by the school for all
                         graduate students) or be enrolled and seeking a second baccalaureate degree at
                         your school. [Bylaws 14.01.2,, and]
               (2) If you are enrolled in less than a full-time program, you are eligible to compete only
               if you are enrolled in the last term of your baccalaureate or graduate degree program
               and are carrying credits necessary to finish your degree requirements. [Bylaw
               (3) You are eligible to compete during the official vacation period immediately before
                         initial enrollment, provided you have been accepted by your school for
                         enrollment in a regular, full-time program of studies and at the time of your
                         initial participation, you are no longer enrolled in your previous educational
                         institution and you are eligible under all institutional and NCAA requirements.
               (4) If you are a returning student, you are eligible to compete between terms, provided
                         you have been registered for the required minimum full-time load at the
                         conclusion of the term immediately before the date of competition, or if you are
                         either continuing enrollment or beginning enrollment, provided you have been
                         accepted for enrollment as a regular full-time student for the regular term
                         immediately following the date of competition. [Bylaw]

    9. Other Rules Concerning Eligibility − All Sports:

       a. You are not eligible to participate in more than four years of intercollegiate participation.
       [Bylaw 14.2]
       b. You are not eligible after 10 semesters or 15 quarters in which you were enrolled at a
                collegiate institution in at least a minimum full-time program of studies as determined
                by the school, except for any extensions that have been approved in accordance with
                NCAA legislation. [Bylaws 14.2.2 and 30.6.1]
       c. You are eligible if you are seeking a second baccalaureate or equivalent degree or you are
                enrolled in a graduate or professional school provided you received your undergraduate
                degree from the same school, you have seasons of participation remaining and your
                participation occurs within the applicable 10 semesters or 15 quarters. You are also
                eligible for championships that occur within 60 days of the date you complete the
                requirements for your degree. [Bylaws 14.1.9 and]
       d. You are not eligible in your sport for the rest of your season if, after enrollment in college
                and during any year in which you were a member of an intercollegiate team, you
                competed as a member of any outside team in any noncollegiate, amateur competition
                in the sport during your college team’s playing season. Competing in the Olympic
                Games, tryouts and competition and other specified national and international
                competition is permitted. [Bylaws 14.7.1 and]
10. Transfer Students Only:
       a. You are considered a transfer student if:
                (1) The registrar or admissions officer from your former school certified that you
                officially were registered and enrolled at that school in any term in a minimum full-time
                load and attended class; or
                (2) The director of athletics from your former school certified that you reported for the
                         regular squad practice that any staff member of the athletics department of your
                         former school announced, even if that practice occurred before the beginning of
                         the academic term. [Bylaw 14.5.2]
       b. If you are a transfer student from a four-year school, you are not eligible during your first
       academic year in residence unless you meet the provisions of one of the exceptions specified in
       Bylaws, or or one of the waivers specified in Bylaw
       c. If you are a transfer student from a two-year institution, you are not eligible during your first
                academic year in residence at your new institution unless you meet the academic and
                residence requirements specified in Bylaw or the exception specified in Bylaw
       d. If you wish to correspond with another NCAA institution about your opportunity to transfer,
                the institution must have permission to contact you before any correspondence may
                (1) To contact another Division III school, you may seek permission from your director
                of athletics, or you can grant other Division III institutions permission to contact you.
                To grant another Division III school permission to contact you about a potential transfer
                (or for you to be able to contact the school), complete the Permission to Contact-Self
                Release form that is provided by the NCAA national office. The form and instructions
                are available on the student-athlete home page of the NCAA Web site at ncaa.org.
                (2) To contact Division I or Division II schools, you must seek permission from your
                director of athletics.
11. Drugs − All Sports:
       a. If the NCAA tests you for the banned drug classes listed in Bylaw and you test
       positive (consistent with NCAA drug-testing protocol), you will be ineligible to participate in
       regular-season and postseason competition for one calendar year (365 days) after your positive
       drug test and you will be charged with the loss of a minimum of one season of participation in
       all sports.
       b. If you test positive a second time for the use of any drug, other than a "street drug" as defined
       in Bylaw, it will result in the loss of lifetime eligibility, while a combination of two

         positive tests involving street drugs (e.g. marijuana, heroin) in whatever order, will result in the
         loss of an additional year of eligibility. [Bylaw]
         c. If you test positive for the use of a "street drug" after being restored to eligibility, you shall be
         charged with the loss of one additional season of competition in all sports and also shall remain
         ineligible for regular-season and postseason competition at least through the next calendar year.
     d. A policy adopted by the NCAA Executive Committee establishes that the penalty for missing a
     scheduled drug test is the same as the penalty for testing positive for the use of a banned drug other
     than a street drug. You will remain ineligible until you retest negative and your eligibility has been
     restored by the NCAA Division III Committee on Student-Athlete Reinstatement. [Bylaw]
12. Non-NCAA Athletics Organization Positive Drug Test - All Sports (Bylaw
     a. If you are under a drug-testing suspension from a national or international sports governing body
     that has adopted the World Anti-Doping Agency (WADA) code, you will not be eligible for
     NCAA intercollegiate competition for the duration of the suspension.
     b. The director of athletics must notify the vice president of NCAA education services in writing
     regarding a student-athlete's disclosure of a previous positive drug test administered by any other
     athletics organization.
     c. If the student-athlete immediately transfers to a non-NCAA institution while ineligible and
     competes in collegiate competition within the 365 day period at a non-NCAA institution, the
     student-athlete will be ineligible for all NCAA regular-season and postseason competition until the
     student-athlete does not compete in collegiate competition for a 365 day period. Additionally, the
     student-athlete must retest negative (in accordance with the testing methods authorized by the
     Executive Committee) and request that eligibility be restored by the Committee on Student-Athlete
     d. The list of banned drugs classes is subject to change and the institution and student-athlete shall
     be held accountable for all banned drug classes on the current list. The list is located on the NCAA
     Web site (www.ncaa.org) or may be obtained from the NCAA health and safety staff in the
     Education Services department at the NCAA national office.
Part II: For New Student-Athletes Only.
This part of the summary contains information about your recruitment, which is governed by Bylaw 13
of the Division III Manual.
1. Recruitment
         a. Offers − All Sports:
                  (1) You are not eligible if, before you enrolled at your school, any staff member of your
                  institution or any other representative of your school's athletics interests offered to you,
                  your relatives or your friends any financial aid or other benefits that NCAA rules do not
                  (2) During your recruitment, it was permissible for you to be employed in any
                  department outside of intercollegiate athletics provided the employment is arranged
                  through normal institutional employment policies and procedures. [Bylaws 13.2.1 and
         b. Contacts − All Sports:
                  (1) For purposes of this section, contact means “any face-to-face encounter between a
                  prospect or the prospect's parents, relatives or legal guardian(s) and an institutional
                  athletics department staff member or athletics representative during which any dialogue
                  (in excess of an exchange of a greeting) occurs. Any such face-to-face encounter that is
                  prearranged or that takes place on the grounds of the prospect's educational institution
                  or at the site of organized competition or practice involving the prospect or the
                  prospect's high-school, preparatory school, two-year college or all-star team shall be
                  considered a contact, regardless of the conversation that occurs.” [Bylaw 13.02.2]
                  (2) You are not eligible if any athletics staff member of your school or any other
                  representative of your school’s athletics interests contacted you (as defined above), your

         relatives or your legal guardians in person off your high school’s campus before you
         completed your junior year in high school (except for students at military academies).
         (3) You are not eligible if, while you were being recruited, any athletics staff member
                  of your school or any other representative of your school's athletics interests
                  contacted you (as defined above) during the day or days of competition at the
                  site of any athletics competition in which you were competing. It was
                  permissible for such contact to occur (during the permissible period) after the
                  competition if the appropriate high school authority released you prior to the
                  contact. [Bylaw]
c. Source of Funds − All Sports:
         (1) You are eligible for intercollegiate competition if prior to initial full-time collegiate
enrollment, you received normal and reasonable living expenses from an individual with whom
you had an established relationship (e.g., high school coach, nonscholastic athletics team coach,
family of a teammate), even if the relationship developed as a result of athletics participation,
                  (a) The individual is not an agent;
                  (b) The individual is not an athletics representative of a particular school
                  involved in recruiting the prospect; and
                  (c) Such living expenses are consistent with the types of expenses provided by
                  the individual as a part of normal living arrangements (e.g., housing, meals,
                  occasional spending money, use of the family car). [Bylaw]
d. Tryouts − All Sports:
       o You are not eligible if, after starting classes for the ninth grade, you displayed your
       abilities in any phase of any sport in a tryout conducted by or for your college. [Bylaw
e. AAU Basketball Only:
         o You are not eligible if a member of your school's coaching staff participated in
         competition or in coaching activities involving an AAU basketball team of which you
         were a member. [Bylaw]
f. Sports Camps:
         o You are not eligible if, before you enrolled at your school, the school, members of its
         athletics staff or a representative of its athletics interests gave you free or reduced
         admission privileges to attend its sports camp or clinic after you had started classes for
         the ninth grade. [Bylaw]
g. Visits, Transportation and Entertainment − All Sports:
         (1) You are not eligible under Bylaws 13.5, 13.6 or 13.7 if, before you enrolled at your
         school, any of the following happened to you:
                  (a) Your school paid for you to visit its campus more than once;
                  (b) Your one expense-paid visit to the campus lasted longer than 48 hours;
                  (c) Your school paid more than the actual round-trip cost by direct route
                  between your home and the campus when you made your one expense-paid
                  (d) Your school entertained you, your parents (or guardians) or your spouse
                  outside a 30 mile radius of the campus during your expense-paid visit; or
                  (e) Your school entertained you, your parents (or guardians) or your spouse
                  excessively during your expense-paid visit or entertained your friends or other
                  relatives at any site.

        (2) You are not eligible if your school paid for you to visit its campus before the first
        day of classes of your senior year in high school. [Bylaw]
        (3) You are not eligible if, when you were being recruited, staff members of your
        school or any representatives of its athletics interests paid the transportation costs for

        your relatives or friends to visit the campus or elsewhere other than the one paid visit.
        (4) You are not eligible if any person, (other than your parents or legal guar-dians) at
        his or her own expense, paid for you to visit your school once and did not accompany
        you on the visit or paid for you to visit more than once. [Bylaw13.6.1.1]
        (5) You are not eligible if, at any time that you were visiting your school's campus at
        your own expense, your school paid for anything more than the following:
                (a) Three free passes for you and those individuals who came with
                you to an athletics event on campus in which your school's team
                competed. [Bylaw]
                (b) Transportation, when accompanied by a staff member, to see off-campus
                practice and competition sites and other facilities. [Bylaw 13.5.1]
                (c) A meal at the dining hall of your school or a meal at an off-campus site if all
                         institutional dining halls were closed and the school normally provides
                         similar meals to all visiting prospective students. [Bylaw]
                (d) Housing at your school that is generally available to all visiting prospective
                students. [Bylaw]
        (6) You are not eligible if, when you were being recruited, a staff member of your
        school’s athletics department spent money, other than what was necessary, for the staff
        member's (or representative's) personal expenses during an off-campus visit with you.
        [Bylaw 13.14.2]
h. Precollege or Postgraduate Expenses − All Sports:
        o You are not eligible if your school, or any representative of its athletics interests,
        offered you money, directly or indirectly, to pay for any part of your educational
        expenses or other expenses during any period of time before you enrolled at your
        school. This applies to your postgraduate education as well. [Bylaw 13.15.1]

                                             Appendix C


Form No. 9-3c Academic Year 2009-10
Student-Athlete Statement − NCAA Division III
Student-Athlete: _______________________________________________________________
(Please print name)
Name of your institution: _________________________________________________________
This form has four parts: a statement concerning eligibility; a Buckley Amendment consent; a statement
concerning the promotion of NCAA championships and other NCAA events; and results of drug tests.
You must sign all four parts in order to participate in intercollegiate competition.
Before you sign this form, you should read the Summary of NCAA Regulations, or another outline or
summary of NCAA legislation, provided by your director of athletics or read the bylaws of the NCAA
Division III Manual that deal with your eligibility. If you have any questions, you should discuss them
with your director of athletics.
The conditions that you must meet to be eligible and the requirement that you sign this form are
indicated in the following articles and bylaws of the Division III Manual:

• Bylaws 10, 12, 13, 14, 15, 16, 18.4 and 31.2.3

If you have questions you may contact the NCAA at 317/917-6222.
Part I: Statement Concerning Eligibility.
1. By signing this part of the form, you affirm that, to the best of your knowledge, you are eligible to
        compete in intercollegiate competition.
2. You affirm that you have read the Summary of NCAA Regulations , or another outline or summary
        of NCAA legislation, or the relevant sections of the Division III Manual and that your director
        of athletics (or his or her designee) gave you the opportunity to ask questions about the
3. You affirm that you meet the NCAA regulations for student-athletes regarding eligibility,
        recruitment, financial aid, amateur status and involvement in organized gambling.
4. You affirm that you are aware of the NCAA drug-testing program and that you have signed the 2009-
        10 Drug-Testing Consent (Form 09-3f).
5. You affirm that you have reported to the director of athletics of your institution any violations of
        NCAA regulations involving you and your institution.
6. You affirm that you understand that if you sign this statement falsely or erroneously, you violate
        NCAA legislation regarding ethical conduct, and you will further jeopardize your eligibility.
__________________________________                  _____________            ___________
Name (please print)                                Date of birth              Age
_________________________________                   ___________________________________
Signature of student-athlete                       Home address (Street or P.O. Box)
__________________________________                 ___________________________________
Date                                               Home city, state, and zip code
Part II: Buckley Amendment Consent.
1. By signing this part of the form, you certify that you agree to disclose your education records.
2. You understand that this entire form and the results of any NCAA-administered drug test you take are
        part of your education records. These records are protected by the Family Educational Rights
        and Privacy Act of 1974 and they may not be disclosed without your consent.
3. You give your consent to disclose only to authorized representatives of this institution, its athletics
        conference (if any) and the NCAA, the following documents:
        a. This form;

          b. Results of NCAA drug tests;
          c. Results of positive drug tests administered by non-NCAA national and international athletics
          d. Any transcript from your high school, this institution, or any junior college or any other four-
                  year institutions you have attended;
          e. Pre-college test scores, appropriately related information and correspondence (e.g., testing
                  sites and dates and letters of test-score certification or appeal), and where applicable,
                  information relating to eligibility for or conduct of nonstandard testing;
          f. Graduation status;
          g. Your social security number;
          h. Race and gender identification;
          i. Diagnosis of any education-impacting disabilities;
          j. Accommodations provided or approved and other information related to any education-
                  impacting disabilities in all secondary and postsecondary schools;
          k. Records concerning your financial aid; and
          l. Any other papers or information pertaining to your NCAA eligibility.
You agree to disclose these records only to determine your eligibility for intercollegiate athletics, your
eligibility for athletically related financial aid, for evaluation of school and team success, for purposes
of inclusion in summary institutional information reported to the NCAA (and which may be publicly
released by it), for NCAA longitudinal research studies and for activities related to NCAA compliance
reviews. You will not be identified by name by the NCAA in any such published or distributed
Further, you authorize the NCAA to disclose personally identifiable information from your educational
records (including information regarding any NCAA violations in which you may become involved
while you are a student-athlete) to a third party (including, but not limited to, the media) as necessary to
correct inaccurate statements reported by the media or related to a student-athlete reinstatement case,
infractions case or waiver request. You also agree that necessary case information (i.e., information
from your student-athlete reinstatement case, infractions case or waiver request) may be published or
distributed to third parties as required by NCAA bylaws, policies or procedures. You will not be
identified by name by the NCAA in any such published or distributed information.
___________________________________                       ______________________________________
Date                                                      Signature of student-athlete
1. Future positive test – all student-athletes sign
Should I test positive for a substance banned by the NCAA and/or by a non-NCAA national or
international sports governing body; violate their drug-testing protocol; or fail to show for their drug
test, at any time after I sign this statement, I acknowledge I must report the results to my director of
____________________________________________ _______________________
Name (Please Print)                                           Date
Signature of Student-Athlete
2. Positive test by NCAA or other sports governing body -- sign either A or B.
A. No positive drug test.
I affirm that I have never tested positive for a substance banned by the NCAA and/or by a non-NCAA
national or international sports governing body; or violated their drug-testing protocol; or failed to show
for their drug test.
Name (Please Print)
_____________________________________________                          _______________________
Signature of Student-Athlete                                           Date
B. Positive drug test.

I have tested positive for a substance banned by the NCAA and/or by a non-NCAA national or
international sports governing body; or violated their drug-testing protocol; or failed to show for their
drug test. Should I consequently transfer, I am obligated to report this to the transferring institution.
____________               _____________________________________                      _____________
Date of test              Organization conducting test                                Substance
Are you currently under such a drug-testing suspension ? Yes _______ No ________

                                              Appendix D

Form 09-3f Academic Year 2009-10
Drug-Testing Consent − NCAA Division III

Requirement to sign Drug Testing Consent Form.
Name of your institution: _________________________________________________________
You must sign this form prior to competition in intercollegiate athletics per NCAA Constitution
and Bylaws 14.1.4 and 30.5. If you have any questions, you should discuss them with your director of
Consent to Testing.
You agree to allow the NCAA to test you in relation to any participation by you in any NCAA
championship or in any postseason football game certified by the NCAA for the banned drugs listed in
Bylaw 31.2.3 (attached).
Consequences for a positive drug test
By signing this form, you affirm that you are aware of the NCAA drug-testing program, which provides:
1. A student-athlete who tests positive shall be withheld from competition in all sports for a minimum of
         365 days from the drug test collection date and shall lose a year of eligibility;
2. A student-athlete who tests positive has an opportunity to appeal the positive drug test.;
3. A student-athlete who tests positive a second time for the use of any drug, other than a “street drug”
         shall lose all remaining regular-season and postseason eligibility in all sports. A combination of
         two positive tests involving street drugs ( marijuana, THC or heroin) in whatever order, will
         result in the loss of an additional year of eligibility;
4. The penalty for missing a scheduled drug test is the same as the penalty for testing positive for the use
         of a banned drug other than a street drug; and
5. If a student-athlete immediately transfers to a non-NCAA institution while ineligible and competes
    in collegiate competition within the 365 day period at a non-NCAA institution, the student-athlete
    will be ineligible for all NCAA regular-season and postseason competition until the student-athlete
    does not compete in collegiate competition for a 365 day period.
• By signing below, I consent:
         a. To be tested by the NCAA in accordance with NCAA drug-testing policy, which provides
         among other things that:
                 (1) I will be notified of selection to be tested;
                 (2) I must appear for NCAA testing or be sanctioned for a positive drug test; and
                 (3) My urine sample collection will be observed by a person of my same gender;
         b. To accept the consequences of a positive drug test;
         c. To allow my drug-test sample to be used by the NCAA drug-testing laboratories for research
                  purposes to improve drug-testing detection; and
         d. To allow disclosure of my drug-testing results only for purposes related to eligibility for
                  participation in NCAA competition.
I understand that if I sign this statement falsely or erroneously, I violate NCAA legislation on ethical
conduct, and will jeopardize my eligibility.
_______________________ ___________________________________
Date                                Signature of student-athlete
_______________________ ____________________________________
Date                                Signature of parent (if student-athlete is a minor)
___________________________________ __________________ _________
Name (please print)                                   Date of birth            Age
Home address

                                              Appendix E

                              Student-Athlete Authorization/Consent
                             Disclosure of Protected Health Information
                                                to the
                              National Collegiate Athletic Association

I, ____________________________ hereby authorize _____________________________________
          Name of Student-Athlete                          Name of my Institution

and its physicians, athletic trainers and health care personnel to disclose my protected health
information and any related information regarding any injury or illness during my training for and
participation in intercollegiate athletics to the National Collegiate Athletic Association (NCAA) and its
employees or agents.

         I understand that my protected health information will be used only by the NCAA’s Injury
Surveillance System (ISS) for the purpose of conducting research on injuries resulting from training for
or participation in athletics. The ISS is a longitudinal research database that provides the NCAA,
NCAA sports rules committees, athletic conferences, researchers and individual schools with summary
(aggregate) injury and participation information that does not identify individual athletes or schools.
The summary data provide the Association and other groups with an information resource upon which
to base health and safety rules and policy and to examine the effectiveness of such efforts.

        I understand that my injury/illness information is protected by federal regulations under either
the Health Information Portability and Accountability Act (HIPAA) or the Family Educational Rights
and Privacy Act of 1974 (the Buckley Amendment) and may not be disclosed without either my
authorization under HIPAA or my consent under the Buckley Amendment. I understand that my
signing of this authorization/consent is voluntary and that my institution will not condition or withhold
any health care treatment or payment, enrollment in a health plan or receipt of any benefits (if
applicable) on whether I provide the consent or authorization requested for this disclosure. I also
understand that I am not required to sign this authorization/consent in order to be eligible for
participation in NCAA athletics.

         I understand that while HIPAA regulations do not apply to the NCAA’s use or disclosure of my
injury/illness information, the NCAA is committed to protecting my privacy. I understand that the
protected health information will be encoded before being transmitted from my institution to the NCAA
and that neither the NCAA nor the ISS will identify me personally in any publication or disclosure of
research results. Data will be stored on a secure server at the NCAA national office in Indianapolis,

         This authorization/consent expires 380 days from the date of my signature below, but I have the
right to revoke it in writing at any time by sending written notification to the athletics director at my
institution I understand that a revocation takes effect on its request date and does not affect any action
taken prior to that date.

__________________________________________                        ____________________________
       Signature of Student-Athlete                                      Date


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