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University Of Michigan Department Of Athletics 2010-11 University Of Michigan Agent Questionnaire - Michigan
| University Of Michigan Department Of Athletics 2010-11 University Of Michigan Agent Questionnaire Form. This is a Michigan form and can be used in Athletic Agent Registration Statewide . |
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UNIVERSITY OF MICHIGAN DEPARTMENT OF ATHLETICS 2010-11 University of Michigan Agent Questionnaire Note: This Form Must Be Completed In Its Entirety (please print or type) 1. General Information Name: ______________________________________ Firm: ______________________________________ Address: ____________________________________ ____________________________________ ____________________________________ Date: _______________________________ Daytime Phone: ______________________________ Evening Phone: ______________________________ Fax: E-mail: ______________________________ ______________________________ 2. Please list your educational background. Include dates attended and degrees conferred. ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ 3. Please list your employment history for the last ten (10) years. Attach additional sheets if necessary. ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com 4. Occupational or Professional Licenses Are you currently certified by the NFLPA? Yes ____ No ____ Permanent Provisional (circle one) Are you currently certified by the NBAPA? Yes ____ No ____ Permanent Provisional (circle one) Are you currently certified by the MLBPA? Yes ____ No ____ Permanent Provisional (circle one) Are you currently certified by the NHLPA? Yes ____ No ____ Permanent Provisional (circle one) Please list any other occupational or professional licenses or other similar credentials you have obtained other than college or graduate school degrees, including the dates they were obtained. _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 5. How many years experience do you have representing client-athletes? _____________________________________________________________________________________ 6. Please identify which of the following services you provide for client-athletes: Contract Negotiation Hourly fee or percentage ____ ____ ____ ____ Financial Planning Grievance Arbitration Legal Assistance Tax Planning ____ ____ ____ ____ Appearance/Endorsements Hourly fee or percentage Estate Planning ____ Other services (please explain): _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 7. Do you offer a separate contract for each of the services identified above? (please explain) _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com 8. Are your customary fees for the above services based on a percentage of the client's salary that you negotiate, total income of the client, an hourly fee, or some other arrangement? (please explain) ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ 9. For the services you perform for client-athletes, list the names and addresses of individuals, firms, or agencies which assist in providing these services. Use additional sheets if necessary. _____________________________________________________________________________________ _____________________________________________________________________________________ _____________________________________________________________________________________ 10. Describe your fee structure. Are your fees negotiable? ______________________________________________________________________________________ ______________________________________________________________________________________ ______________________________________________________________________________________ 11. Do you expect to be paid for your services "up front" or as the player is compensated? _____________________________________________________________________________________ 12. Under what conditions may a client terminate a contract? _____________________________________________________________________________________ _____________________________________________________________________________________ 13. What happens if your client is waived from a team? _____________________________________________________________________________________ _____________________________________________________________________________________ 14. Do you limit the number of clients you will represent? If yes, please explain. ____________________________________________________________________________________ ____________________________________________________________________________________ American LegalNet, Inc. www.FormsWorkFlow.com 15. Do you have an agreement, understanding, or relationship of any kind with any individual, firm, or organization pursuant to which such an individual, firm, or organization solicits or encourages clients to use your services? If yes, please explain, including whether or not you provide any compensation or other consideration to such an individual, firm, or organization. _________________________
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