APR Enrollment Verification Form

Student-Athlete Name:*

First Middle Last

Sport:*

The student-athlete referenced above attended the University of Georgia and may have transferred to your insitution. To assist us with our Academic Progress Rate data collection, please complete the following information:

Is the student-athlete currently enrolled full-time at your institution?*

Yes
No

What term did the student-athlete begin full-time enrollment at your institution?*

Fall
Spring
Summer

What year did the student-athlete begin full-time enrollment at your institution?*

Institutional Certification

Name of Institutional Representative:*

First Last

Title:*

Email Address:*

Name of Institution:*

Date of Submission:*

Signature:*

Institutional Certification

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