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Athlete Eligibility and Medical Forms* Please note: This link is only active during the period of August 2006 to February, 2007 Please Read First:The department of QUEEN'S ATHLETICS has changed its method of approving eligibility for its athletes by adopting a web-based system for collecting required personal and athletic information. In addition, the Head Athletic Therapist has a similar web-based means for obtaining the information needed for medical and injury support for participants in our diverse sport program. Queen’s University Athletics Privacy Statement: Queen's University Athletics Department is committed to protecting your privacy. We will treat all the personal information that we obtain from you in accordance with the provisions outlined by Queen's University Freedom of Information and Protection of Privacy guidelines which can be found at the following url: www.queensu.ca/secretariat/senate/policies/access/. We ask you to read the following carefully. In order for you to participate in sports at Queen’s, the ATHLETICS DEPARTMENT needs to collect, use, and retain certain personal information (and in some cases some medical information) from you as mandated by the Ontario University Athletics (OUA) and Canadian Interuniversity Sport (CIS). The collection of personal and medical information from you is necessary in order to
While we limit our use and disclosure of your personal information to the above stated purposes, successful and award winning athletes may be asked for their consent to disclose their personal information to the media. For more information about giving your consent to the media please review our USE OF PERSONAL INFORMATION FOR MEDIA PURPOSES statement. We will not provide information we have collected on you to any third parties, other than those mentioned above, without your permission or unless required by law. Your personal information is retained following schedules approved according to the program outlined in the Queen's University Record Policy. See: http://archives.queensu.ca/recman.html INFORMATION ACCESS
PLEASE CONTACT
If you have further questions and concerns regarding privacy at Queen’s and the Queen's University Freedom and Protection of Privacy guidelines please contact the Privacy Officer, at the following number: (613) 533-2211. Athlete Eligibility & Medical FormsThere are links below to the 2 forms that MUST be completed by those wishing to compete as an Interuniversity Team/Club or Competitive Club athlete. A Medical Information Form for those athletes attending pre-season training camps MUST be filled out prior to the first day of camp. Athletes are advised to contact the Head Coach of those sports holding early or pre-season training camps. Please take the time to read, and fill out, the two forms correctly. You will have an opportunity to review your personal and medical information during your team's respective eligibility night. Eligibility Information FormAthletes must contact and have approval from their Head Coach before filling out and submitting the eligibility form. The form must be filled out prior to Eligibility Night, and all forms MUST be submitted electronically. There will be NO exceptions to this request. An athlete will not be processed until he/she has filled out this form electronically. There will be facilities for completing the form electronically in the Physical Education Centre during the early Fall term. There are three steps to the eligibility process and ALL THREE STEPS must be completed before an athlete can be considered to be eligible to participate as a Queen's student-athlete. The THREE STEPS are as follows:
The Banned Substance list from the Canadian Centre for Ethics in Sport can be obtained HERE. There is also an Adobe Acrobat version available HERE. The Queen's student-athlete disclaimer can be viewed HERE. Although the medical form is straightforward to fill out the eligibility form needs a few explanatory comments. These comments can be broken into general ones and specific ones about individual questions. General CommentsThe form has been designed so that it cannot be submitted until certain fields have been filled in. These required fields are indicated by a red asterix. In some of these fields, default information has been provided to allow an incomplete form to be submitted for example, a fictitious local Kingston address and telephone number has been provided for those who do not know their Kingston address or telephone number when first filling out this form.
IT IS THE RESPONSIBILITY OF THE ATHLETE to provide the correct information either electronically or in person (if changes are necessary), to Jeanean Sergeant (see below) before eligibility night.
For help in filling or editing the eligibility form contact: Janean Sergeant Specific CommentsSECTION I General Information SPORT: Mandatory Field
STUDENT ID #: Mandatory Field
DATE OF BIRTH: Mandatory Field
HEIGHT: Mandatory Field
WEIGHT: This is required only for Football.
LOCAL ADDRESS: Mandatory Field
EMAIL ADDRESS
FACULTY/SCHOOL
ELIGIBILITY USED: Mandatory Field
POSITION:
SECTION II C.I.S. and O.U.A. Rules You must read the brief section on C.I.S or O.U.A. Rules for Eligibility, then answer ALL OF THE QUESTIONS. The majority of the questions are pre-set with a default response. If the default response is not applicable to you then change the response. Fill out the required information in the fields having no default responses. Question 8 clarification
SECTION III Athlete Profile The information provided through this section is used for media purposes. Fill in as much of the information as possible that applies to you. All student-athletes MUST fill out these forms. Please take a few minutes to fill them out completely and accurately.
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