Student-Athlete Eligibility Checklist
Individuals that plan on participating on an intercollegiate athletic team at Middlesex must meet all NJCAA
eligibility requirements, which include a student being enrolled in a minimum of 12 credit hours. In addition,
all the items/forms listed below are required prior to your first practice.
- Items that you must bring to the athletic office and drop off: (forms available on middlesexcoltsathletics.com)
_____ Eligibility Affidavit -Note: Ability to fill in all gaps between your high school graduation date and the current semester (if applicable) *this must be detailed, including all dates, employment, locations, etc.
_____Amateurism Form
_____Buckley Amendment
_____HIPPA Form
_____Health Insurance Information Form
_____Athletic Physical
_____Insurance Card (need copy of front and back of card)
_____Updated Shot Records
- Item that can be sent to Middlesex College:
_____High School Transcript
Transcript must include:
- Name of High School
- Student’s Name
- Signature of School Official (or sent via Parchment)
- Graduation Date
_____College Transcripts
Transcript must include:
- Must be in sealed envelope or sent via electronic from the School
- Must be official transcripts. Unofficial transcripts will not be accepted
- Items that will be administered on-campus once you arrive:
_____Impact Concussion Test
_____NJCAA Admin Portal Registration
_____Transfer Paperwork (if applicable)
_____Delay/Break in Attendance Paperwork (if applicable)
_____Course Schedule with Start/End Dates
_____ Photography/ Video consent release
- NJCAA Eligibility Affidavit (both pages) Note: Ability to fill in all gaps between your high school graduation date and the current semester (if applicable)
*this must be detailed, including all dates, employment, locations, etc - NJCAA Amateurism Form (both pages)
- An athletic physical approved by the athletic trainer. Physical Form
Note: Needs MCC approval once it is turned in - Health Insurance & Emergency Contact Form (including a copy of insurance card)
- HIPPA Form
- Buckley Admendment
- Eligibility Checklist