1999 World University Games

Athlete's Eligibility Form

(This form is to returned to Athletics Canada no later than May 1, 1999)

PLEASE TYPE OR PRINT IN BLOCK LETTERS


NAME: _______________________________________ SPORT: ___________________
           Surname           First Name(s)


UNIVERSITY/COLLEGE:_____________________________________________________

STUDENT NUMBER: __________________________

PROGRAM OF STUDY:  _____________________________________________________

NUMBER OF YEARS IN ABOVE PROGRAM: _____________________________________

DATE OF FIRST REGISTRATION AT A UNIVERSITY/COLLEGE:_________________________
                                                        Month         Year

DATE OF HIGH SCHOOL GRADUATION: ________________________________________
                                            Month       Year

ATHLETE'S SIGNATURE: _______________________________________

DATE: _______________




TO BE COMPLETED BY THE REGISTRAR:

I hereby certify that _________________________________ meets all 
                            student's name

academic criteria as delineated on this form.

PLEASE CHECK ONE OF THE FOLLOWING AS APPLICABLE TO THIS STUDENT:

  _____ Student is currently registered full-time* and is pursuing the
above mentioned program of study in the 19______- 19______ academic year.

  *full-time student is one who is acceptable to the institution of
attendance as satisfying the requirements necessary to be classified as
full-time student.

  _____ Student graduated with a ____________________ on ______________
                                   degree/diploma            date
                       
DATE: ___________________ SIGNATURE: ___________________________________
                                       Registrar or Designate
             
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TO BE COMPLETED BY THE CANADIAN INTERUNIVERSITY ATHLETIC UNION:

Date: ______________________ SIGNATURE: _______________________________



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