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

* 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.