Tennessee Tech University Athletics
Agents Registration

Agents must register with the Tennessee Tech University Compliance Office and receive permission before contact any student-athletes.

To register, please fill out the online form below:

Agency Name:                       
 
Names of Agents/Representatives:
     Agency Address:
     Phone:
     Fax:  
     Cell Phone:
     Email address:
List of Sports Represented by Agency:         
   
 - Are you certified by the NFLPA?
                  Yes
                  No
                  Permanent
                  Provisional
Date of NFLPA Certification:
               Month Day Year
   
- Are you presently certified by the NBPA?    

                  Yes
                  No
                  Permanent
                  Provisional
   
 - Areyou presently certified by the MLBPA?             

                   Yes
                   No
                   Permanent
                   Provisional
   
 Are you licensed by the State of Tennessee?
 
                   Yes / No
 What is your license number:
   
Please list the services you provide for client athletes:
Please list the Tennessee Tech athletes
you plan to contact: