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Indiana University Agent Questionnaire And Registration Form - Indiana

Indiana University Agent Questionnaire And Registration Form Form. This is a Indiana form and can be used in Athletic Agent Registration Statewide .
 Fillable pdf Last Modified 9/19/2012
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Indiana University Agent Questionnaire and Registration Form -If you are interested in representing an Indiana University student-athlete in professional sports negotiations, you must complete this form. Please type your responses to the following questions and mail to Andy Humes, Indiana University Department of Intercollegiate Athletics, Assembly Hall, 1001 E. 17th St., Bloomington, IN 47408-1590, fax to 812-856-5155, or e-mail to ahumes@indiana.edu. This form is available online at http://iuhoosiers.com/compliance/agentguide.html. 1. What is your educational background? 2. Are you registered with the Indiana Attorney General? 3. Are you certified/registered with a professional players association? 4. Have you ever been disciplined by any regulatory organization? 5. How long have you been a professional sports agent? 6. What did you do before you became a professional sports agent? 7. What are your special areas of expertise? 8. What services do you provide for your clients? 9. Do you offer separate contracts for each service? 10. What is your fee structure for each service (flat fee, hourly, percentage)? Please list fee for each service in detail. 11. How and when will you be paid? 12. Who negotiates the contract? 13. What is the duration of the agreement? 14. What if a client terminates the agreement? 15. What happens when a client is waived from a team? 16. Do you limit your number of new clients? American LegalNet, Inc. www.FormsWorkFlow.com 17. Please list as references the name and phone number of at least two active players that you currently represent and have represented for a minimum of five years. 18. Please list the name(s) and phone number(s) of any active player(s) that you formerly represented. 19. Please list Indiana players that you formerly represented and are currently representing. Name of Agent: Business Name: Business Address: Business E-mail Address: Business Phone Number: Business Fax Number: Date of Registration with the Indiana Attorney General: Registration Number: I have read and understand the Indiana University's Guide for Athlete Agents and agree to abide by all of its precepts ______________________________ Signature of Agent _______________ Date American LegalNet, Inc. www.FormsWorkFlow.com
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