Introduction Section
AGENT REGISTRATION FORM

Welcome to UCF’s Athletics Compliance Office (ACO) Agent Registration Form. UCF strives to educate student-athletes, their families, and agents about the NCAA rules related to agents and professional sports. The goal for our Agent Program is to increase education, transparency, and permissible access between student-athletes and legally certified, permissibly registered athlete agents. Each registration must be completed annually on an individual basis (August 1st to July 31st). As such, every individual who wishes to directly communicate with UCF student-athletes and/or their family and friends must be individually registered for that current academic year.

*Disclaimer - "Grad Year" is a required field and should reflect the current calendar year in which you are registering (e.g., 2021).
Personal Information
First Name:
Last Name:
Country:
Address Type:
Street Address:
City:
State:
Zip:
Grad Year:
Email Address:
Mobile Number:
FaceBook:
Twitter:
@
Instagram:
@
Other Questions
Name of Agency/Company:
Office Phone:
Company Website:
Please list any Partners/Associates:
Please list any Affiliates (e.g., financial managers, brand managers, CPA):
Please indicate the primary sport in which you represent clients:
Professional League Players’ Association Certification & Date of Certification:
Are you related (blood, marriage, or contractual agreement) to any UCF student or staff member? :
Please list current client list (name, college, professional league):
Please list any current or former clients who attended UCF:
Please list UCF student-athletes you intend to contact (please note that these individuals will be given your contact information once you have successfully registered with UCF ACO):
Have you or any employee/partner/associate ever been disciplined or cited for a violation of a players’ association regulation governing athlete agents? (Yes/No):
Have you ever been involved in, investigated for, or convicted of participating in actions that violated state law or state bar association regulations? (Yes/No):
Have you ever been a defendant in civil proceedings involving bankruptcy, fraud, misrepresentation, embezzlement, misappropriation of funds, breach of fiduciary duty, forgery, or legal malpractice? (Yes/No):
Have you ever had a business license, certification, or registration suspended, revoked, or placed on probation by the issuing authority? (Yes/No):
Have you ever been involved in or investigated for participating in actions that violated NCAA bylaws? (Yes/No):
Have you completed the annual NCAA registration process to become an NCAA certified agent in men's basketball? (Yes/No)::
If you are not an NCAA certified agent for men's basketball, do you understand you may not agree to represent (verbally or in writing) or provide expenses or other benefits to a men's basketball student-athlete who is "testing the waters?" (Yes/No)::
If you are an attorney, are you considered to be a member in good standing with the Florida Bar?:
State of Florida Athlete Agent license number and expiration date::
Please indicate if you intend to contact student-athlete for professional sports representation, NIL marketing, or both.:
Do you agree to comply with all University, American Athletic Conference, and NCAA rules governing student-athlete interaction with agents? (Yes/No)::
Do you agree to notify the AACO of any potential or actual violations you commit or become aware of while interacting with student-athletes? (Yes/No)::
When you have completed this questionnaire please click submit questionnaire.
School Name:
OR :
State:
City:


Club Name:
Team Name:
Coach Last Name:
State:
City:


Club Name:
Team Name:
Club State:
Club Coach First Name:
Club Coach Last Name:
Club Coach Email:
Club Coach Mobile:

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