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Student-Athlete Employment
This form is to be completed and approved prior to a Student-Athlete beginning any employment.
Name
Sport
- Select -
Baseball
Men's Basketball
Women's Basketball
Football
Men's Golf
Women's Golf
Women's Gymnastics
Men's Swim & Dive
Women's Swim & Dive
Women's Soccer
Softball
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Women's Tennis
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Women's Track & Field
Men's Volleyball
Women's Volleyball
Employment Information
Company/Employer
Intended Start Date
Company/Employer Address
Supervisor's Name
Email
Telephone Number
Compensation
Description of how the Student-Athlete obtained the job
In what form will the Student-Athlete be paid? (Check all that apply)
Cash
Check
Tips
Other
If other, please explain
Rate of pay (hourly/weekly)
Other Employment Benefits? (check all that apply)
N/A
Uniform
Meals/Per Diem
Transportation
Lodging
Other
Are these benefits provided to all employees?
Yes
No
By signing this Statement, the Student-Athlete and His/Her Employer/Supervisor named above, agree that:
• The Student-Athlete may not receive any remuneration for the value or utility that the Student-Athlete may have for the Employer because of the publicity, reputation, fame or personal following He/She has obtained because of athletic ability;
• The Employer may not use the Student-Athlete’s name, picture or appearance to promote the Company;
• The Student-Athlete is to be compensated only for work actually performed;
• The Student-Athlete is to be compensated at a rate commensurate with the going rate in the locality for similar services;
• The Company/Employer or its representatives shall not provide a Prospective Student-Athlete free transportation to and from a summer job unless it is the Employer’s established policy to transport all employees to and from the job site; and
• The Employer and Student-Athlete will make available for review and inspection, by an authorized representative of the NCAA, WCC or BYU, copies of all documents, earnings statements and other records related to the Student-Athlete’s employment.
• The Student-Athlete affirms that all information provided is true and accurate to the best of his/her knowledge. Further, the SA acknowledges that the provision of any false information to the Compliance Office could impact his/her athletic eligibility.
Signature of Student-Athlete
Enter your full name
Date