Promotional Activities Request Form

The student-athletes at UNCG voluntarily engage in community outreach events. If your school or organization would like to request the service of a student-athlete, please fill out the Promotional Activities Request Form below and submit it for consideration.

  • Submitting a form does not guarantee the request will be fulfilled.
  • Requests must be received at least two weeks prior to the date of activity.
  • Requests for specific student-athletes or teams are not guaranteed.
  • Please read the NCAA Guidelines/Restrictions (pdf) before submitting an appearance request.
For more information, please contact:
Kwadjo Steele, Assistant AD for Student Welfare
Email: kosteele@uncg.edu
Phone: (336) 334-4765
Mail: UNCG Athletics
Attn: Kwadjo Steele
1408 Walker Avenue, 337 HHP Building, PO Box 26268
Greensboro, NC 27402

I am inquiring about:

Promotional Activity   Fundraising Activity   Community Service   Donation of Autograph Item

  Requester Information          
             
  Name*                                            
   
  Telephone        
  Email*    
   
             
  Organization Email          
             
  Organization Name*    
   
  Organization Address*    
   
  Organization Phone*    
   
  Organization Email        
  Organization Website        
  Organization Mission        
             
  Event Information          
             
  Event Date*    
   
  Event Time*    
   
  Time for Student-Athlete to Attend Event*
    
   
  Event Description*    
   
  Student-Athlete Responsibilities*    
   
  No. of Student-Athletes Requested        
  Sport of Student-Athletes Requested        
             
  NCAA Compliance Questions          
             
  Your Organization is (choose one):      Charitable Agency    
          Educational Agency    
          Non-Profit Agency    
          UNCG Entity    
  Expenses Being Provided          
  Breakfast*     Yes    No
    
  Lunch*      Yes    No   
    
  Dinner*      Yes    No
    
  Overnight Lodging*     Yes     No
    
  Mileage*     Yes     No
    
  If YES, total miles:        
  Other Expense*     Yes     No
    
  If YES, please list:        
  Are funds being raised at this event?*     Yes     No
    
  If YES, what will the funds be used for?        
  Will any other organization aside from the
requesting organization receive funds from
this appearance?*
       Yes     No
    
   If YES, please explain:
          
  Will the appearance benefit individuals in
9th through 12 grades?*		     Yes     No
    
  If YES, please explain:        
  Will the Student-Athlete(s) appearance involve
any athletics' participation?*		     Yes     No
    
  If YES, please explain:        
  Is the event location a commercial establishment?*     Yes     No
    
  If YES, please explain:        
  If YES, will the commercial establishment be a co-sponsor,
advertise or promote the event?		     Yes     No
    
  If YES, please explain:        
  Will the Student-Athlete(s)' name, picture or appearance
be used to promote the event?*		     Yes     No
    
  If YES, please explain:        
  Will any promotional items bearing the name(s) or
picture(s) of the Student-Athlete(s) be used?*		     Yes     No
    
  If YES, please explain:        

Signature
I certify that all information listed above is accurate and that I am an authorized representative of the agency making the request. As the authorized representative, I certified that the student-athlete(s) name, image or appearance will be used in a manner consistent with the NCAA legislation outlined above.
Authorized Signature (please enter name)*
Date*