Idaho > Statewide > Bureau Of Occupational Licenses
Athlete Agent Registration BOL-AAG-1 - Idaho
| Athlete Agent Registration Form. This is a Idaho form and can be used in Bureau Of Occupational Licenses Statewide . |
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IDAHO STATE ATHLETE AGENT REGISTRATION APPLICATION FOR REGISTRATION NOTICE An athlete agent, with the intent to induce a student-athlete to enter into an agency contract, may not: (1) Give any materially false or misleading information or make a materially false promise or representation; (2) Furnish anything of value to a student-athlete before the student-athlete enters into the agency contract; or (3) Furnish anything of value to any individual other than the student-athlete or another registered athlete agent. An athlete agent may not intentionally: (1) Initiate contact with a student-athlete unless registered under this chapter; (2) Refuse or fail to retain or permit inspection of the records required to be retained by section 54-4813, Idaho Code; (3) Fail to register when required by section 54-4804, Idaho Code; (4) Provide materially false or misleading information in an application for registration or renewal of registration; (5) Predate or postdate an agency contract; or (6) Fail to notify a student-athlete before the student-athlete signs or otherwise authenticates an agency contract for a particular sport that the signing or authentication may make the student-athlete ineligible to participate as a student-athlete in that sport. Violation of the above shall constitute a criminal misdemeanor. The Bureau may assess a civil penalty against an athlete agent not to exceed twenty-five thousand dollars ($25,000), in addition to any criminal penalties, for a violation of this chapter. There are specific guidelines governing the practice of athlete agents in Idaho. Please review the Uniform Athlete Agents Act prior to submitting your application. INSTRUCTIONS The application includes these instructions, the affidavit page, and the addendum page. All requested information must be provided and all questions must be answered. Should additional information be required from 3rd party sources, you may be required to request that information and have it sent directly from the 3rd party to the Bureau. Your application will not be processed until all required information and documentation is received. Failure to complete the attached application and/or include the required fees will result in its return to you. If you are applying for registration based on a registration or license from another state, please submit a copy of your original application to that state and copy of your registration/license in lieu of submitting Idaho's entire application. The Bureau will accept the application and the certificate from the other state as an application for registration in this state if the application to the other state: (1) Was submitted in the other state within the 6 months preceding the submission of the application in Idaho and you certify that the information contained in the application is current; (2) Contains information substantially similar to, or more comprehensive than, that required in Idaho's application; and (3) Was signed by you under penalty of perjury. ORIGINAL APPLICATION & REGISTRATION FEE $250.00 Incomplete applications will delay the processing of your application. All returned checks are subject to a $20.00 fee. Questions regarding this application or the requirements for licensure may be addressed to: BUREAU OF OCCUPATIONAL LICENSES 700 West State Street, P.O. Box 83720 Boise, Idaho 83720-0063 (208) 334-3233 FAX (208) 334-3945 www.ibol.idaho.gov aag@ibol.idaho.gov BOL-AAG-1 2/11 1 American LegalNet, Inc. www.FormsWorkFlow.com of 3 IDAHO STATE ATHLETE AGENT REGISTRATION Bureau of Occupational Licenses 700 West State Street, P.O. Box 83720 Boise, Idaho 83720-0063 APPLICATION FOR REGISTRATION Complete this form by providing the requested information (please print - note the attached instructions). Your signature must be notarized and the appropriate fees must be attached. Submit the completed form to the address noted above. I hereby apply to register and practice as an Athlete Agent in the State of Idaho under Title 54, Chapter 48, Idaho Code as amended. 1. Full Name (Mr., Mrs., or Ms.) _____________________________________________________________________ 2. Business or Employer name (if any)________________________________________________________________ 3. Business address________________________________________________________________________________ Street / PO Box / Apt # City State dd Zip 4. Place of Birth Date of Birth _______/_______/_______ mm yyyy 5. Please describe the business or occupation you have engaged in for the five years preceding the date of this application: __________________________________________________________________________________________________ __________________________________________________________________________________________________ 6. Social Security No. ______-____-______ Business phone number (____)____________ E-mail_________________________ 7. Do you have formal training as an athlete agent? (If yes, please describe, use a separate sheet if needed) [ ]Yes [ ] No ___________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ 8. Do you have practical experience as an athlete agent? (If yes, please describe, use a separate sheet if needed) [ ]Yes [ ] No ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ 9. Please describe any educational background you have relating to being an athlete agent (Use a separate sheet if needed). ____________________________________________________________________________________________________________ ____________________________________________________________________________________________________________ 10. List the names and addresses of three individuals not related to you who are willing to serve as references. 1.Name ____________________________________Address________________________________________________________ 2.Name ____________________________________Address________________________________________________________ 3.Name____________________________________Address_________________________________________________________ 11. State the name, sport, and last known team for each individual for whom you have acted as an athlete agent during the five years preceding the
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