Student Athlete Status Change

Student Athlete's Full Name:*

Student Athlete's myID:*

UIN (Student ID Number):*

Sport:*

Please specify all sports (i.e., Indoor Track, Cross Country, etc.)*

Is (or was) this student-athlete a preferred walk-on for admission purposes?*

Today's Date:*

ROSTER MANAGEMENT

Roster Change:*

Student-Athlete's Email Address*

Date of Birth:*

When did this student-athlete enroll at UGA (for example, Fall 2014)?*

Has this student-athlete registered with the NCAA Eligiblity Center?*

Did this student-athlete transfer to UGA?*

From what institution?

Reason for removing from team:*

Please explain the revision to the Student-Athlete's status.

Financial Aid Change:*

Scholarship Change:

Amount/Percentage/Component of Scholarship Award:**

Amount/Percentage/Component of Increase in Scholarship Award:**

Please specify the increase you are requesting.*

Head Coach Name:*

Head Coach's Email Address:*

Submitter Name, if different:

Submitter Email Address, if different: