Referral JUCOELIGIBILITY The Law Eligibility Audit Coach / University Athlete Certification | JUCO to D1 Justice Coach / University Athlete Certification OFFICIAL INTAKE & CERTIFICATION PORTAL | JUCO TO D1 JUSTICE Athlete Information Legal First Name Legal Last Name JUCO Institution First Semester of College Month 0102 0304 0506 0708 0910 1112 Year 20222023 20242025 20262027 Primary Sport — Select Sport — Football Basketball Baseball Softball Soccer Volleyball Track & Field D1 University Extending Offer Verified Athletic & Physical Statistics Select a sport to add relevant athlete statistics. Coach / University Official Information Full Legal Name Official Title (AD / Compliance / Coach) University / Institution Name Official Contact Email Official Institutional Email Verification Offer & Certification Details Current Status of Division I Offer — Select — Full Athletic Scholarship Offer Partial Scholarship Offer Roster Spot / Preferred Walk-On Primary NCAA Regulatory Impediment — Select — JUCO Eligibility Exhaustion Interpretation Division I Five-Year Clock (10-Semester Rule) 4-2-4 Transfer Requirement Official Impact Statement Execution & Statement of Truth “I hereby certify, under penalty of perjury, that the athlete identified above has been extended a formal athletic opportunity that is currently unfulfillable due to the aforementioned NCAA eligibility regulations. I acknowledge this data is collected for legal review and that my institution confirms the accuracy of these athletic standings.” Electronic Signature (Type Full Legal Name) What This Submission Does This form creates a new athlete record and immediately certifies it. Once completed successfully, the athlete will be added to the database with a status of Certified. Certify Athlete & Submit