Travel Center
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.

Required Fields in Bold

 
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 Information

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
Expenses Being Provided- Lunch:
 
YES
NO
Expenses Being Provided- Dinner:
 
YES
NO
Expenses Being Provided - Overnight Lodging:
 
YES
NO
Expenses Being Provided - Mileage:
 
YES
NO
If YES, total miles:
 
Expenses Being Provided - Other Expense(s):
 
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
 
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