Community Service Request Form

Any group or agency outside of UW Athletics requesting student-athlete(s) participation in a promotional activity must complete this form and submit it TWO WEEKS PRIOR TO THE EVENT. If you have any questions, please contact Kayla Gross, at 608.890.4822 or kgross@athletics.wisc.edu

During the 2012-2013 academic year, UW student-athletes volunteered over 4,000 hours of their time to community service events, activities and projects.

Wisconsin Athletics is committed to providing opportunities for our student-athletes to learn and pursue areas of social relevance while responding to the needs of the greater Madison community.

Although every request may not be approved, requests that meet the following conditions are most likely to be considered for approval:

  • Events, activities or projects mainly hosted by a charitable, educational, institutional or non-profit agency
  • Events, activities or projects located within 30 miles of the UW-Madison campus
    Please note: Events further than 30 miles may be considered for special approval on a case-by-case basis
  • Requests submitted at least 2 weeks before the event, activity or project is scheduled
  • Events, activities, or projects that will not be advertised or promoted using co-sponsorship from a commercial entity beyond reproduction of company logo or registered trademark free of slogans, personal messages or names
    Please note:
    • Company contact information may be included along with a logo or registered trademark
    • For events co-sponsored or promoted by commercial entities, please include any available draft of advertisements to ensure the event complies with NCAA rules and regulations
  • Fundraising events, activities or projects that give 100% of proceeds directly to UW-Madison, the Big Ten Conference or a charitable, educational or non-profit agency
  • Requests that include specific dates and times of events, activities or projects so that the Office of Community Relations may verify that a student-athlete will not miss class to volunteer
  • Requests that ensure student-athlete volunteers will not receive an award or reward for participation in any event, activity or project
    Please note:
    • On occasion, objects such as a t-shirt or small meal may be permissible. If a student-athlete is likely to receive any similar object, please include such information on the request form

* Required Field

Name of the requesting organization/agency*:  
Contact Name*  
Contact phone number*:  
Email address*:    
Fax Number (if applicable):
Address line 1*:  
Address line 2:
City*:  
State*:  
Zip*:  
 

Your Organization's Designation




Title of event*:  
Date*:  
Location of event*:  
Beginning time appearance requested: :
Ending time of event: :
Number of student-athlete(s) requested*:  
Specific sport(s) requested (3 max):

 
What are the duties of the student-athletes?*  
Age range of the participants*: from:   to   yrs old
Expected Number of event attendees*?  
Purpose of event*:  
 

Will money be raised for this event?


If yes, what will be the money be used for?
 

Does this activity involve co-sponsorship, advertisement or promotion by a commercial agency?


If yes, how is the commercial agency involved?
Describe any advertisement used?
Please email any advertisement, trademark or logo used to kgross@athletics.wisc.edu with your event title in the subject line.
What expenses, if any, will the student-athlete receive*?  
Please share any other information you deem necessary, which may include a brief description of exactly what will take place at this event.
UW student athletes are required to adhere to guidelines set forth by the NCAA and the Big Ten regarding their volunteer activities. Failure to comply with their volunteer activities may result in the forfeiting of teams competitions, the loss of an athletic scholarships, or penalties to the individual student-athlete (s) and their team(s). for this reason we ask that you read the brief paragraph of the athletic department guidelines.


 
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