UNIVERSITY OF NOTRE DAME ATHLETICS
ATHLETICS COMPLIANCE OFFICE
AWARDS – CONFERENCE OR NATIONAL CHAMPION
Please use this form to report all Championship Awards provided to student-athletes per 16.1.4.2. Annual Participation,
Special Achievement and Post Season Participation Awards may be reported at the end of a playing season on separate
designated forms. Awards presented must be:


Uniform for all team members eligible to participate in the event
Assigned normal retail value
Sport:
Academic Year:
CONFERENCE CHAMPIONSHIP AWARDS – Max $325 per agency
Please complete this section to notify the compliance office of all conference championship awards issued by the institution
and/or the conference for winning the regular season and/or postseason tournament. If a team wins both the regular season
and post season conference championship, the combined value of total awards may not exceed $325 per agency.
1. Regular Season Conference Champion
Description of Institutional Item(s)
Value
2. Post Season Conference Champion
Description of Institutional Item(s)
Value
NATIONAL CHAMPIONSHIP AWARDS – Max $415 per agency; In an individual sport, it is possible for a S-A to receive two
awards on the basis of being a member of the national championship team and an individual champion.
Description of Institutional Item(s)
Value
Last Name, First Name
Attach pages or roster as needed
Conference Awards
Total
National Championship
Awards
Total
UNIVERSITY OF NOTRE DAME  113 JOYCE CENTER  NOTRE DAME, IN 46556  574.631.9647  NCAACOMPLIANCE.ND.EDU
My signature certifies that the above responses are correct and I have read and understand the NCAA regulations set forth
in Bylaw 16.1.4.2 regarding awards for winning a championship.
Signature of Coach/Designee
Date
Signature of Compliance
Date
UNIVERSITY OF NOTRE DAME  113 JOYCE CENTER  NOTRE DAME, IN 46556  574.631.9647  NCAACOMPLIANCE.ND.EDU