e Mo mmunit y Co ll eg t o tC 23 rt et ic De pa s 19 me l nt of Ath Men’s Basketball • Women’s Basketball Men’s Baseball • Women’s Softball Men’s & Women’s Cross Country Women’s Volleyball Men’s Golf Athletics 810-762-0200 • www.mcc.edu Athletics What you get: • A NJCAA National Letter of Intent and Scholarship Agreement Form • A Copy of the Athletic Code of Conduct • A Delayed Enrollment Form • An Insurance Statement Form • A Temporary Abatement of Payment Form • An Authorization to Disclose Information Form • A Uniform Size Form • A Step-by-Step Student Athlete Enrollment Process Form Whatwe need from you: • Official high school transcripts • Official college transcripts • Copy of a current drivers license or state identification card Athletic Code Of Conduct The Athletic Department requires the following guidelines be adhered to by all members of the athletic programs at Mott Community College. The following regulations, as well as the College’s Handbook on Rights and Responsibilities, shall apply to all student athletes on all college property and during any college-sponsored activity. 1. Academics—It is the responsibility of each student athlete to maintain good academic standing. Each athlete must meet the eligibility requirements established by the National Junior College Athletic Association (NJCAA). This includes making satisfactory progress in classes and maintaining fulltime enrollment during each semester your sport is in season. Failure to meet these requirements will result in immediate expulsion from the athletic program. Mott Community College also requires that one maintain a minimum 2.0 G.P.A. in order to receive an Athletic Scholarship. 2. Representing Mott Community College—A student athlete is seen in the public eye more often than the average student. Remember, it is a privilege to be a college athlete, but it is also your responsibility to represent the college with class and dignity. Failure to do this will result in disciplinary action from the coach or Athletic Director. 3. Use of College Property—Each athlete is expected to use college property or equipment in the manner for which it is intended. Uniforms and practice gear will be issued to each athlete and must be returned at the end of your season. Failure to do so will result in an academic “Restricting” on all records for that student. Any destruction of college property or other property while representing Mott Community College will not be tolerated. Violators will be subject to the college disciplinary process as well as the local police. In addition, you may be held responsible for damages. 4. Alcohol and Drug Use—Any student athlete found to be under the Influence or in the possession of alcoholic beverages or illegal drugs while representing the college will face immediate suspension from the athletic program. 5. Tobacco—Smoking or chewing tobacco will not be permitted while participating on any team. 6. Disturbance in Public—Varsity student athletes are only one group that uses the Ballenger Field House. Many times that usage must be shared with instructional classes, campus recreation programs, community users, as well as other varsity teams. You are expected to act in a mature manner at all times and not create a situation that disrupts or disturbs another program; this includes being in the field house at inappropriate times, creating loud noises and congregating in the lobby when classes are operating. Violators will be subject to disciplinary action imposed by the Athletic Director. 7. Dress and Appearance— Proper attire is required. Moderation and good taste is always ex- pected. 8. Responsibility—Being a college student and the responsibility it holds is one of the early tests of adulthood. If you want to be treated as an adult, you simply have to act like one. Remember that as an adult, you are responsible for your actions, which means accepting the decision of your coaches or the Athletic Department administration graciously and in a mature manner. If you do not understand something, simply ask, the door is always open and you will receive an honest, direct answer. 9. Due Process—The following principles of due process shall be employed by any athlete accused of violating Athletic Department or college regulations A. In less serious cases involving a minor offense, corrective action may be taken by the appropriate coaching staff. An appeal by the student may be made to the athletic director. B. In a more serious conduct situation where suspension or dismissal are possible actions, the athletic director, in conjunction with the coaching staff, will render a decision. C. All attempts to render a fair and just decision to any offense will be made as quickly as possible. D. Disciplinary action may include, but is not limited to: reprimand, restriction of participation, requirement of restitution, and suspension or dismissal from the program. E. Any student who breaks the laws of the State of Michigan or local municipality will be referred to Public Safety and the local police department. 10. Athletic Scholarship: If a student athlete is receiving an athletic scholarship the scholarship may be reduced or revoked if he/she violates any or all of the below guidelines: A. Any violation of the Athletic Code of Conduct will result in complete revocation of the athletic scholarship. B. Whenever a student athlete withdraws from all the courses during a semester in which he or she is receiving a scholarship will result in complete revocation of the athletic scholarship. C. Whenever a student athlete fails all the courses he or she is taking during a semester it will result in complete revocation of the athletic scholarship. D. E. Whenever a student athlete has a pre-existing injury that keeps him or her from competing and does not disclose this information to the Athletics Department it will result in complete revocation of the athletic scholarship. Whenever a student athlete fails a course within the semester, there will be a 25% reduction is the athletic scholarship amount that is to be awarded for the next semester. F. Any student athlete rendered eligible, they will not be permitted to receive a scholarship. The Athletics Department does reserve the right to analyze each above circumstance on an individual basis. I have read and understand the Athletic Code of Conduct and will hereby agree to follow all rules and guidelines. Print Name: ______________________________________ Signature: _______________________________________ Date: ___________________________________________ GO tt mo munity C o ll e Mo om eg C tt pa rt t ic De To be completed by the student and returned within one week. 23 s 19 me nt of Ath le Mott Community College Intercollegiate Athletics Delayed Enrollment Student Statement Name of Sport:___________________________________________ First Name:______________________________________________ Middle Name:____________________________________________ Last Name:______________________________________________ Address:_________________________________________________ City:_________________________ State:______ Zip:____________ Phone Number:___________________________________________ Date of Birth:_____________________________________________ Student ID:______________________________________________ Season of Participation:____________________________________ Date of High School Graduation:____________________________ Name of High School:_____________________________________ High School City:_________________________ State:__________ Zip:_________________ GED q Yes q No GED Date:___________________ Date of Initial College Enrollment:___________________ Transfer Student q Yes q No If yes, name of previous college and location:___________________ _______________________________________________________ Full-time terms previously enrolled:__________________________ Have you ever participated in sports at Mott? q Yes q No If yes, what sport(s):_______________________________________ Number of Seasons:_____________________________ Did you participate in any other college athletics? q Yes q No If yes, what sports(s):______________________________________ Number of Seasons:_____________________________ To be completed by the Athletic Department. Previous Full Time Term Hours Earned_________________ GPA______________ Cumulative Hours Earned_________________ GPA______________ Best Hours Accum q Yes q No Best of 24>=2.0 q Yes q No Hours registered for in current term__________________________ Date of physical exam____________ U.S. Citizen/Green Card Holder q Yes q No If you DID NOT start College in the Fall semester following high school graduation, list in order when and where you worked. Chronologically List each job with beginning and ending dates. If you did not work list in order what your activities were during this period - for example, June 2006 to March, 2007, worked at K-Mart, Flint, MI., March, 2007 - August 2007 stayed at home, did not work, enrolled for Fall semester 2007 at Mott. etc. If you had a break in attending college, list what you did; e.g. worked, stayed at home, moved etc. and list dates for that break and beginning of re-enrolling. a. b. c. I certify that the above statements are true and correct: Signature Date Explanation munity C o ll e Mo om eg C tt 23 rt t ic De pa s 19 Mott Community College Student-Athlete Insurance Statement me nt of Ath le To be completed by the parent and returned to the Athletic Department within one week Name:__________________________________ Birth Date:______/______/______ Student ID:_______________ Student Address________________________________________________________________________________ City Zip Code Father/Guardian:_____________________________ Mother/Guardian:____________________________ Address:____________________________________ Address:____________________________________ City:________________________ State:__________ City:________________________ State:__________ Zip:_________________________ Zip:_________________________ Phone Number: (______) ____________________ Phone Number: (______) ____________________ Employer Name:_____________________________ Employer Name:_____________________________ Medical Ins. Co.:_____________________________ Medical Ins. Co.:_____________________________ Policy Number:______________________________ Policy Number:______________________________ Does your son/daughter have any allergies to medications, foods, or otherwise?_____________________________ Which?_______________________________________________________________________________________ List all surgeries and/or serious illnesses that your son/daughter has had: _______________________________________________________________________ Date:_________________ _______________________________________________________________________ Date:_________________ _______________________________________________________________________ Date:_________________ No Athlete will be allowed to compete on a college team until this form is completed and returned to the athletic department I herby authorize Mott Community College and First Agency of Kalamazoo, Michigan to inspect or secure copies of case history records, laboratory reports, diagnosis, x-ray, and any other data covering this and/or previous confinements and/or disabilities. A photo copy of this authorization shall be deemed as effective and valid as the original. Student’s Signature:_______________________________________ Date:_____________________ Parents’s Signature:_______________________________________ Date:_____________________ Temporary Abatement of Payments Name:___________________________________________ Mott ID #:_________________________________ Sport:___________________________________________ Semester: q Summer q Fall q Winter q Spring Date T.A.P. requested until:_____________________OR end of the semester Student Section • • • • • • I understand I am responsible to attend all my classes and have my charges paid in full by the published semester date(s). I understand that payment must be in the form of an approved financial aid award, scholarship, and/or cash, check, credit card, or a payment plan in order to remain registered for my classes. I understand that if the above hold date is beyond the full refund period for the above semester; therefore, my classes will not be dropped for non-payment. I know that I am responsible for all charges incurred before or after the approval of this form. If I choose to drop, I must officially drop the class(es) myself. To be refunded tuition charges, I must drop by the semester refund dates. I understand that my classes may be dropped for other reasons, such as but not limited to, SAP violations, code of conduct violations, and I will be notified via email if my classes will be dropped before the date on this form. I understand that if I have a past due balance for a prior semester, I will NOT be approved for a T.A.P. hold. I understand that important information will be communicated with me through my MCC email and it is my responsibility to check it regularly. Student Signature:_______________________________________ Date:_________________________ Authorizing Signature:______________________________________ Date:________________________ Print Name:_______________________________________________ FAO USE ONLY: Approved q Yes q No Date:_________________ Hold End Date:________________ Date of email to student:________________ Bear Tracks Freshman Year Summer Fall Winter Spring 3 Credits Sophomore Year Summer 3 Credits 6 Credits Fall 15 Credits Winter 12 Credits 15 Credits Spring 3 Credits Summer 3 Credits 12 Credits 12 Credits 3 Credits Athletics Uniform Size Form Jersey Size: Pant Size: Shoe Size: Hat Size: Jacket Size: Spandex: student-athlete enrollment process Bring your valid government issued ID and social sercurity card to your initial visit to Mott Community College 1. Apply for Admission If you completed your application online, please visit the admissions office to sign your application or submit a paper application. The Admission Office is located in the Prahl Building, Second Floor, Room PCC 2140. For more information, call (810) 762-0315. 2. Apply for Financial Aid (if needed) - FASFA - MCC Code#: 002261 You must have a valid government issued photo ID when you visit the Financial Aid office. Student Financial Services is located in the Prahl Building, Lower Level, Room PCCLL. For more information, call (810) 762-0144. 3. Request College Transcripts Contact college(s):___________________________________________ Send to: Registrar’s Office, Mott Community College, 1401 East Court Street, Flint, 48503 Mott Community College Registrar’s Office, PCCLL. For more information, call (810) 762-5105. 4. Attend Orientation Set up an appointment in the Counseling Center, PCC 2030, or call (810) 762-0377. 5. Take Placement Test - A picture I.D. is required Next to the Counseling Center, PCC 2010, or call (810) 762-0372 6. Submit all required documents to the Athletic Department 7. Make appointment with: a counselor (810) 762-0111 or Academic Advisor (810) 762-0331 Division_________________; Lapeer (810) 667-4166; Fenton (810) 762-5000; Clio (810) 232-8044 8. Select courses with aid of Counselor or Advisor Results of placement test will be given to you at this appointment. 9. Register for classes Counselor or Advisor can assist you in their office. 10. Pay tuition and fees Within two (2) business days of registration or sooner depending on registration date. many of the interactions with the Cashier’s Office can be accomplished online using WebAdvisor. 11. Select textbooks in college bookstore, Prahl Building, main floor PCC 1010 Keep sales receipt and do not remove cellophane. For more information, call (810) 762-5603 12. Attend Classes! First session is very important! 13. Be Successful! Keep in touch with your Counselor or Advisor at least twice during each semester. e Mo mmunit y Co ll eg t o tC 23 rt et ic De pa s 19 me l nt of Ath Athletics 810-762-0200 • www.mcc.edu