NATIONAL ASSOCIATION OF INTERCOLLEGIATE ATHLETICS
ELIGIBILITY CENTER
2012-13 TRANSCRIPT SUBMISSION FORM FOR NAIA MEMBERS
Form should accompany the student’s most recent official transcript from your school. Completion of all applicable fields will expedite the
review process.
STUDENT’S GENERAL INFORMATION
Name:
NAIA Eligibility Center ID #:
NAIA School:
State:
Has the student ever been suspended from your institution for any reason?
Y
N
Y
N
Y
N
If yes, please list date(s), terms of suspension and status.
STUDENT’S ATHLETICS – To be completed by the director of athletics.
1.
Date of this student’s first competition:
2.
Has this student ever competed representing your institution? (inc. scrimmages)
If yes, please list sport/s and dates:
3.
Has this student competed as an unattached athlete while at your institution?
List each unattached event and confirm each criterion was reviewed and met. Make copies as needed to list each instance.
Team/League/Competition Name:
1.
2.
3.
4.
5.
6.
7.
4.
Competition Dates: fr.
A coach or representative of the athletics department did not enter the student in the event.
The institution or its representative did not provide transportation to the event, from the event, or at the event.
The institution or its representative did not provide meals or housing to the student with regard to the event.
The student did not wear an institutional uniform nor use the institution’s name in the event.
The student competing “unattached” was not covered by institutional athletic insurance.
The student was made aware that s/he was not covered by institutional athletic insurance.
The competition and the student’s participation must have conformed to NAIA amateur status regulations.
to
Met
Met
Met
Met
Met
Met
Met
Not Met
Not Met
Not Met
Not Met
Not Met
Not Met
Not Met
Was the student charged any intercollegiate seasons of competition prior to enrolling at your institution?
Y
N
If yes, list sport, academic year and institution:
5.
sport
year/s
institution
sport
year/s
institution
sport
year/s
institution
Has the student participated in any non-collegiate competition since high school graduation?
Y
N
If yes, please list sport, dates, and event/league/team name:
6.
sport
date/s
name
sport
date/s
name
Please specify which option your school filed with the conference eligibility chair for inter-terms:
Option A. The interterm stands separate.
Option B. The interterm is attached to the first term.
Option C. The interterm is attached to the spring term.
My institution did not file inter-term details with the
conference eligibility chair.
My institution does not offer an inter-term.
I attest that the information above was prepared by me and is accurate.
Director of Athletics (please print)
Director of Athletics (signature)
date
NAIA Transcript Submission Form / 12-13
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2012-13 TRANSCRIPT SUBMISSION FORM FOR NAIA MEMBERS
Continued
STUDENT’S ACADEMICS (To be completed by the registrar)
7.
Did this student transfer to your institution?
Y
N
If yes, list all schools previously attended, including online and part-time enrollment:
8.
Student’s classification at the conclusion of the term*
FR
SO
JR
SR
Part-time only
(*or at the conclusion of the interterm, if attached to the previous term):
9.
Did the student enroll and subsequently withdraw from any classes not listed on this transcript?
Y
N
Y
N
If yes, was the student required by the institution to take developmental/remedial course?
Y
N
Are these courses awarded institutional credit?
Y
N
Y
N
If yes, list each course and credit hours:
course
credit hours
course
credit hours
course
credit hours
10. Has this student taken any developmental/remedial courses at your institution?
11. Is this student enrolled in any inter-term coursework?
If yes, at what institution?
12. Please provide any additional academic information regarding this student that would assist in the eligibility review
process:
INSTITUTIONAL ACADEMIC POLICIES (To be completed by the registrar)
If Institutional academic policies were submitted with a previous transcript, check this box, skip questions 13 and 14, and go
straight to signature.
13. Does your institution limit the number of activity credits applicable toward graduation credits?
Y
N
If yes, what is that limit?
14. The NAIA Eligibility Center may have additional questions about academic records. Please provide the following
information for your school’s academic contact for this purpose during the winter break.
Contact Name:
Title:
Tel.:
Email:
I attest that the accompanying transcript was prepared and submitted directly by the Registrar’s office.
Registrar (please print)
Registrar (signature)
National Association of Intercollegiate Athletics Eligibility Center
1200 Grand Blvd. Suite 100, Kansas City, MO 64106
date
NAIA Transcript Submission Form / 12-13
Page 2 of 2
2012-13 TRANSCRIPT SUBMISSION FORM FOR NAIA MEMBERS
Instructions
Registrars may only send official transcripts from their own schools. Transcripts from other schools cannot be forwarded by the
NAIA institution (with the exception of international academic document - refer to the International Recruits webpage on the
PlayNAIA website for details about sending international records.)
Students should be registered with the NAIA Eligibility Center before official records are sent. Transcripts must be sent directly
from the registrar to the NAIA Eligibility Center. Have the Director of Athletics complete the section of the cover page related to
athletic competition first, and then the academic section should be completed by the registrar’s office and submitted with the
student’s official transcript to the NAIA Eligibility Center.
Faxed or emailed transcripts are not accepted. Documents sent by the department of athletics are not accepted.
Please send using ONE of the following 3 methods.
Hardcopy - Overnight Mail
NAIA Eligibility Center -Transcripts
1200 Grand Blvd. Suite 100
Kansas City, MO 64106
Electronic Transcript Exchange
Registrars can forward official, electronic transcripts directly to the NAIA Eligibility Center using the following electronic transcript
exchange services. For best results, the NAIA Eligibility Center should be selected as the designated recipient.
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Docufide by Parchment
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National Transcript Center
National Student Clearinghouse
Secure Online Drop Box for NAIA Registrars
For institutions that do not participate in the electronic transcript exchange services above, a secure, internet based “drop box” has
been established for NAIA Registrars to forward official transcripts.
Drop Box instructions are available to the registrar directly.
National Association of Intercollegiate Athletics Eligibility Center
1200 Grand Blvd. Suite 100, Kansas City, MO 64106
NAIA Transcript Submission Form / 12-13