Athlete Intake Form
NILEMS New Athlete Onboarding
INSTRUCTIONS
Section titled “INSTRUCTIONS”Complete all sections below. This information is used to build your athlete profile, match you with brand opportunities, and ensure compliance with Ohio law, NCAA rules, and your school’s NIL policies.
All information is kept confidential per NILEMS’ privacy and confidentiality policies.
SECTION 1: PERSONAL INFORMATION
Section titled “SECTION 1: PERSONAL INFORMATION”| Field | Response |
|---|---|
| Full Legal Name | $AthleteName$ |
| Preferred Name / Nickname | $PreferredName$ |
| Date of Birth | $AthleteDOB$ |
| Mailing Address | $AthleteAddress$ |
| Phone Number | $AthletePhone$ |
| Email Address | $AthleteEmail$ |
| Social Security Number | (Collected separately on W-9) |
Are you 18 or older?
- Yes
- No — Parent/Guardian must co-sign all agreements
Parent/Guardian (if under 18):
| Field | Response |
|---|---|
| Name | $ParentName$ |
| Relationship | $ParentRelationship$ |
| Phone | $ParentPhone$ |
| $ParentEmail$ |
SECTION 2: ACADEMIC & ATHLETIC INFORMATION
Section titled “SECTION 2: ACADEMIC & ATHLETIC INFORMATION”| Field | Response |
|---|---|
| University/School | $University$ |
| Sport | $Sport$ |
| Position | $Position$ |
| Class Year | $ClassYear$ |
| Expected Graduation | $GradDate$ |
| GPA (Current) | $GPA$ |
| Scholarship Type | $ScholarshipType$ |
| Conference | $Conference$ |
| Jersey Number | $JerseyNumber$ |
| Head Coach | $CoachName$ |
| Compliance Officer | $ComplianceOfficer$ |
| Compliance Email | $ComplianceEmail$ |
Athletic Achievements / Honors: $Achievements$
Transfer History (if applicable): $TransferHistory$
SECTION 3: SOCIAL MEDIA & DIGITAL PRESENCE
Section titled “SECTION 3: SOCIAL MEDIA & DIGITAL PRESENCE”| Platform | Handle | Followers |
|---|---|---|
| $Instagram$ | $IGFollowers$ | |
| TikTok | $TikTok$ | $TTFollowers$ |
| Twitter/X | $Twitter$ | $XFollowers$ |
| YouTube | $YouTube$ | $YTSubscribers$ |
| $Facebook$ | $FBFollowers$ | |
| Snapchat | $Snapchat$ | $SCFollowers$ |
| $LinkedIn$ | $LIConnections$ | |
| Personal Website | $Website$ | N/A |
Total Combined Following: $TotalFollowing$
Content Style (check all that apply):
- Lifestyle / Day-in-the-life
- Training / Workout content
- Motivational / Inspirational
- Comedy / Entertainment
- Fashion / Style
- Gaming
- Faith / Community
- Other: $ContentStyle$
Do you currently create content for any brands?
- Yes — Brand(s): $CurrentBrands$
- No
SECTION 4: NIL EXPERIENCE
Section titled “SECTION 4: NIL EXPERIENCE”Have you done any NIL deals before?
- Yes
- No
If yes, describe previous deals: $PreviousDeals$
Do you have any existing NIL contracts or obligations?
- Yes — Details: $ExistingContracts$
- No
Do you currently have another agent or representative?
- Yes — Name/Agency: $OtherAgent$
- No
Are there any brands or industries you will NOT work with? $ExcludedBrands$
SECTION 5: BRAND PREFERENCES & INTERESTS
Section titled “SECTION 5: BRAND PREFERENCES & INTERESTS”What types of brands interest you? (Check all that apply)
- Sports / Athletic Apparel
- Food & Beverage / Nutrition
- Technology / Gaming
- Fashion / Beauty
- Automotive
- Financial Services
- Health & Wellness
- Local / Small Business
- Restaurant / Food Service
- Education / Tutoring
- Non-Profit / Community
- Other: $BrandInterest$
What types of NIL activities interest you? (Check all that apply)
- Social media endorsements
- Autograph sessions / Meet & Greets
- Public appearances / Events
- Merchandise (custom product lines)
- Camps & Clinics
- Brand ambassador (ongoing relationship)
- Podcast / Media appearances
- Charity / Community events
- Licensing (name/image on products)
- Other: $ActivityInterest$
Personal Brand Statement (1-2 sentences): $BrandStatement$
SECTION 6: FINANCIAL INFORMATION
Section titled “SECTION 6: FINANCIAL INFORMATION”| Field | Response |
|---|---|
| Preferred Payment Method | $PaymentMethod$ |
| Bank Name (for direct deposit) | $BankName$ |
| Account Holder Name | $AccountName$ |
Routing and account numbers collected separately via secure form.
W-9 Status:
- W-9 completed and submitted
- W-9 pending — will submit by $W9Date$
Do you have a CPA or financial advisor?
- Yes — Name: $CPAName$ / Contact: $CPAContact$
- No — I am interested in NILEMS financial literacy resources
SECTION 7: EMERGENCY CONTACT
Section titled “SECTION 7: EMERGENCY CONTACT”| Field | Response |
|---|---|
| Name | $EmergencyName$ |
| Relationship | $EmergencyRelationship$ |
| Phone | $EmergencyPhone$ |
| $EmergencyEmail$ |
SECTION 8: ACKNOWLEDGMENTS
Section titled “SECTION 8: ACKNOWLEDGMENTS”By signing below, I acknowledge:
- I have read and understand the NILEMS Athlete Representation Agreement
- I understand NILEMS will notify my school’s compliance office within 72 hours per Ohio law
- I understand I have a 10-day right of cancellation under the UAAA
- I understand that all NIL income is subject to federal and state taxes
- I understand that NILEMS receives a commission per the Representation Agreement
- The information I have provided is true and accurate to the best of my knowledge
SIGNATURES
Section titled “SIGNATURES”ATHLETE Signature: ____________________________ Printed Name: $AthleteName$ Date: ____________________________
PARENT/GUARDIAN (if under 18) Signature: ____________________________ Printed Name: $ParentName$ Date: ____________________________
FOR NILEMS OFFICE USE ONLY
| Field | Detail |
|---|---|
| Date Received | ______________________________ |
| Processed By | ______________________________ |
| Athlete Tier | [ ] Star ($50K+) [ ] Mid-Tier ($10-50K) [ ] Emerging (<$10K) |
| School Notified | [ ] Yes — Date: __________ [ ] Pending |
| W-9 Received | [ ] Yes [ ] No |
| Rep Agreement Signed | [ ] Yes [ ] No |