Appearance Request Form
* Denotes required fields
* Organization Country:
* Organization Name:
* Organization Type:
Advocacy Organizations Influencing Public Opinion
Arts and Entertainment
Business and Professional Organizations
Conservation, Environmental and Beautification
Cultural, Historical or Other Educational Organizations
Education, Schools, Colleges and Related Organizations
Employee or Membership Benefit Organizations
Farming and Related Organization
Health Services, Wellness and Related Organizations
Inner City or Community Organizations
Legislative and Political Organizations
Litigation and Legal Aid Organizations
Other Activities Directed to Individuals
Other Instructions and Training Organizations
PTA and Booster Clubs
Religious and Faith Based Organizations
Scientific Research Organizations
Youth and Family Organizations
* Name of Benefit Fund:
(i.e. John Doe Benefit)
Partner Bank or Credit Union:
(partnering with benefit)
* First Name:
(i.e. CEO, President, Executive Director, or Development Officer at the Organization)
(No PO boxes please)
* Primary Email:
* Primary Phone:
* Mission Statement:
Requester Contact Information
* First Name:
* Email Address:
* Primary Phone:
* Title/Relationship to Organization:
Organization's Event Details
* Event Name:
(Please enter an event description that is not specific to this donor or donation request. You may use the comments below for additional details)
* Event Date:
* Event Location:
* Number of Guests:
* Age Range of Guests:
* Event Sponsor/Underwriter:
(if no event sponsor/underwriter, please enter N/A)
Athlete/Representative(s) requested (in order of preference):
* What will the representative be doing:
Do you have a budget for this event? If yes, please specify amount, otherwise enter N/A.
(Please include if it is a paid or unpaid appearance. If paid, include the appearance fee)
* Event Times and Length:
(Please include start time and appearance end time)
* Event Address:
Attach a Document:
Please attach the following documents:
• Certified 501(c)(3) document (Not Tax-Exempt form)
• Documents that describe your event, or any other related document.
(Click on Browse button to attach multiple documents. Files will be uploaded when you click submit. A maximum of three attachments will be saved. Attachments must be in one (1) of the following formats: Pdf, doc, docx, xls, xlsx. Limit the file size to less than 4MB.)
Please enter the contact name of the person at this organization who requested you to submit your request. Leave blank if no one referred you.
13.15.1 Prohibited Expenses.
An institution or a representative of its athletics interests shall not offer, provide or arrange financial assistance, directly or indirectly, to pay (in whole or in part) the costs of the prospect's educational or other expenses for any period prior to his or her enrollment or so the prospect can obtain a postgraduate education.
By checking the box, I acknowledge that any funds raised in conjunction with this event or appearance will
benefit anyone in grades 9 through 12, or grades 7-12 if it involves Men's Basketball.
By checking the box, I acknowledge that I have read and understand the NCAA bylaws regarding promotional activities. I understand that the organization is under no obligation to fulfill this request.
Click here for NCAA Bylaws Regarding Promotional Activities
Submission of this request does not guarantee that your request will be fulfilled.
To review the status of your request at any time, please login with your user name and password, which will be emailed to you shortly. Status of requests will not be received over the telephone.
This request system has been implemented to decrease our carbon footprint and to help protect our environment. We appreciate your support. Thank you.
I confirm that I am 14 years or older
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