Student-Athlete Community Service Report - (Internal - StudentAthletes ONLY)

    Student-Athletes: use this form to report any and all community service hours that you complete. YOU DO NOT NEED TO PRINT OR DOWNLOAD ANY PDFs FOLLOWING FORM SUBMISSION.

    Community Service Report

    Student-Athletes: Report all community service hours using this form. YOU DO NOT NEED TO PRINT OUT ANY PDFs FOLLOWING FORM SUBMISSION.

    * - Required Field

    *  Student-Athlete Name
    *  Sport
    *  Student-Athlete e-mail address
    *  Organization's Name
    Organization's Primary Contact
    Organization's Telephone
    Organization's e-mail
    *  Date of Community Service
    *  Location of Community Service
    Include full address, contact information and phone number if available.
    *  Time Served
    How many community service hours did you serve?
    *  Duties

    NCAA Regulations

    *   Was this a fund-raising event?
    Valid input:
    - Select only one choice.
    [] Yes
    [] No
    *   Did the event involve students who have already started the ninth grade?
    Valid input:
    - Select only one choice.
    [] Yes
    [] No
    *   Did you miss class to participate at this event?
    Valid input:
    - Select only one choice.
    [] Yes
    [] No
    *   Did the organization provide you with transportation to/from the event?
    Valid input:
    - Select only one choice.
    [] Yes
    [] No
    *   Did the organization provide a meal for you?
    Valid input:
    - Select only one choice.
    [] Yes
    [] No
    *   Was this event part of a class-required service learning assignment?
    Valid input:
    - Select only one choice.
    [] Yes
    [] No

    NCAA Compliance

    *   Terms and Conditions Checkbox
    NCAA Compliance

    According to NCAA Bylaw 12.5.1.1 Boise State University student-athletes can participate in charitable/non-profit activities only under the following conditions:

    (a) The student-athlete receives written approval to participate from the director of athletics (or his or her designee who may not be a coaching staff member), subject to the limitations on participants in such activities as set forth in Bylaw 17;

    (b) The specific activity or project in which the student-athlete participates does not involve co-sponsorship, advertisement or promotion by a commercial agency other than through the reproduction of the sponsoring company's officially registered regular trademark or logo on printed materials such as pictures, posters or calendars. The company's emblem, name, address, telephone number and website address may be included with the trademark or logo. Personal names, messages and slogans (other than an officially registered trademark) are prohibited;

    (c) The name or picture of a student-athlete with remaining eligibility may not appear on an institution's printed promotional item (e.g., poster, calendar) that includes a reproduction of a product with which a commercial entity is associated if the commercial entity's officially registered regular trademark or logo also appears on the item;

    (d) The student-athlete does not miss class;

    (e) All moneys derived from the activity or project go directly to the member institution, member conference or the charitable, educational or nonprofit agency;

    (f) The student-athlete may accept actual and necessary expenses from the member institution, member conference or the charitable, educational or nonprofit agency related to participation in such activity;

    (g) The student-athlete's name, picture or appearance is not used to promote the commercial ventures of any nonprofit agency;

    (h) Any commercial items with names, likenesses or pictures of multiple student-athletes (other than highlight films or media guides per Bylaw 12.5.1.7) may be sold only at the member institution at which the student-athletes are enrolled, the institution's conference, institutionally controlled (owned and operated) outlets or outlets controlled by the charitable, educational or nonprofit organization (e.g., location of the charitable or educational organization, site of charitable event during the event). Items that include an individual student-athlete's name, picture or likeness (e.g., name on jersey, name or likeness on a bobble-head doll), other than informational items (e.g., media guide, schedule cards, institutional publications), may not be sold; and

    (i) The student-athlete and an authorized representative of the charitable, educational or nonprofit agency sign a release statement ensuring that the student-athlete's name, image or appearance is used in a manner consistent with the requirements of this section.

    NCAA Bylaw 16.02.3 Extra Benefit. An extra benefit is any special arrangement by an institutional employee or a representative of the institution's athletics interests to provide a student-athlete or the student-athlete's relative or friend a benefit not expressly authorized by NCAA legislation. Receipt of a benefit by student-athletes or their relatives or friends is not a violation of NCAA legislation if it is demonstrated that the same benefit is generally available to the institution's students or their relatives or friends or to a particular segment of the student body (e.g., international students, minority students) determined on a basis unrelated to athletics ability.

    In accordance with NCAA Bylaws, 12.5 (Promotional Activites), 12.5.1 (Permissible) and 12.5.2 (Non-permissible), this form when completed and signed by the promotional agency and approved by the Athletics Compliance office at Boise State University, allows permission for a student-athlete's name, picture or appearance to be used in a charitable community service or promotional activity.

    Valid input:
    - Select only one choice.

    [] I Agree

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