Campus Liaison

Name *

First Name

Last Name

Phone *

(###)

###

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Setting *

Middle School(s)

Secondary School(s)

College - DI

College - DII

College - DIII

Club

Other

When communicating about the program, I agree to represent Sidelined USA as a resource and content cultivator, not a mental health care provider. *

Yes

At no time should a user have an expectation of clinical care or professional services offered or rendered. *

I acknowledge

I understand the term of commitment for the Campus Liaison position is one year, renewable. *

Yes

I agree to watch the training webinar. (Link will be emailed to you) *

Yes

I will utilize the program resources when an athlete in my care experiences a medically-forced exit from sport. *

Yes

I agree to participate in program evaluation and feedback. *

Yes