Tennessee Tech NIL Activity Pre-Acceptance Kind

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For: University student-Athletes who will be or have been compensated for the use of their names, images, and likenesses for advertising uses.

Motion: Complete the kind in its entirety and signal and return to Amanda Thatcher, Assistant Ad for Compliance. This info will be saved on file in a manner regular with federal and state law, if relevant.

Because of Date: Prior to participation in NLI actions. Failure to disclose may impression the university student-athletes’ eligibility.

Is this a 1-time exercise? *

If sure:

</p>
<p>Remember to listing start off date of activity and the finish date of the action</p>
</p></div>
</p></div>
</div>
<div class="input-group">
<p>
<label for="custom_field_202004071710079755" class="control-label">If no, how many things to do will you be associated in for this a person enterprise (supply number or approximated amount, i.e. 15 posts): </label>
    </p>
<div class="input-box">
<div class="input-control">
        <textarea id="custom_field_202004071710079755" name="custom_field_202004071710079755" class="textbox large"/></p>
<p>Remember to list the amount of pursuits, preliminary start off day of functions and approximated finish date of pursuits</p>
</p></div>
</p></div>
</div>
<div class="input-group">
<p>
<label for="custom_field_202004071710079756" class="control-label">Provide estimated get started and stop dates for each activity: </label>
    </p>
<div class="input-box">
<div class="input-control">
        <textarea id="custom_field_202004071710079756" name="custom_field_202004071710079756" class="textbox large"/></p>
<p>If there is start off or no conclude day to the activity, please reveal (i.e. submitting every month for the subsequent 12 months ? supply initial posting day and/or all expected dates the pupil ? athlete will be putting up): </p>
</p></div>
</p></div>
</div>
<div class="input-group">
<fieldset>
<legend class="label-box">
<span class="control-label">How will you be compensated for your Identify, Image and Likeness Activity(s)?  * </span><br />
</legend>
</fieldset>
</div>
<div class="input-group">
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<p>
  <strong>Finish just one of the adhering to payment selections:</strong>
</p>
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<div class="input-group">
<p>
<label for="custom_field_2021070614203566115" class="control-label">Other: </label>
    </p>
<div class="input-box">
<div class="input-control">
        <textarea id="custom_field_2021070614203566115" name="custom_field_2021070614203566115" class="textbox medium"/></p>
<p>Explain (i.e. Athlete held all outfits applied through photoshoot, acquired goods or price cut)</p>
</p></div>
</p></div>
</div>
<div class="input-group">
<p>
<label for="custom_field_2021070614290362925" class="control-label">Temporary description of the action you will be taking part in (i.e. Will need to submit on social media Sunday ? Friday any time of working day):  * </label>
    </p>
</div>
<div class="input-group">
<p>
<label for="custom_field_2021070614290362926" class="control-label">Transient description encompassing what are/ended up the terms of the arrangement or transaction:  * </label>
    </p>
</div>
<div class="input-group">
<p>
<label for="custom_field_2021070614290362927" class="control-label">Checklist all get-togethers to the settlement or transaction, other individuals and entities, and or experienced services vendors. If no other folks have been concerned in this transaction, remember to set N/A:  * </label>
    </p>
</div>
<div class="input-group">
<p>
<label for="custom_field_2021070614290362928" class="control-label">Ended up you referred by anybody for this activity?  * </label>
    </p>
<p>            <select id="custom_field_2021070614290362928" name="custom_field_2021070614290362928"><option value="Yes">Indeed</option><option value="No">No</option></select></p>
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<em>By submitting this kind, I acknowledge that my establishment, or a designee of my establishment, may possibly review the accuracy of this information, and I consent to any investigation, critique, or audit. I admit that inaccurate or incomplete disclosure or failure to cooperate could assistance a acceptable conclusion that compensation I received constituted an inducement to attend or stay enrolled at a certain college, a substitute for spend for athletics effectiveness or participation, or an usually illegitimate resource of payment for use of my identify, picture, and likeness.</em></p>
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