Department of Physical Education and Athletic

University of Chicago Office of Intramurals, Recreation and Sport Clubs Ratner Athletics Center 5530 South Ellis Avenue, Room 141 Chicago, IL 60637

The following are the agreement and condition requirements for all University of Chicago Sport Club instructors, coaches, and guest instructors/coaches in order to provide services to the University of Chicago Sport Club program.

A supplier, independent contractor or other party may NOT instruct, coach or provide (or receive payment for) a service for a representative of the University of Chicago Sport Club program until all applicable forms below have been completed (and submitted). All instructors and coaches – whether paid or volunteer – are subject to a background check each academic year.

1. Submit an Instructor-Coach Agreement to be recognized by the University of Chicago Sport Club program as an instructor, coach or guest instructor/coach

2. Submit detailed resume of experience in related field of instruction/coaching

3. Submit a minimum of 3 references outlining related experiences (including name, company, address, e-mail, phone number, etc.)

4. If being paid, complete an Independent Contractor W-9, Independent Contractor Certificate of Compliance and an Independent Contractor Questionnaire (U.S. resident)

5. If being paid, complete a W-8BEN-I Certification of Foreign Status of Beneficial Owner For the United States Tax Withholding, Request for Alien Information, Certification of Compliance, and Consultant and Independent Contractor Questionnaire (Non-Resident)

6. Complete an Instructor-Coach Waiver

7. Submit an Instructor-Coach Pass Request each quarter (Done by Sport Club Officer)

If you have any questions, please contact Brian Bock, Director of Intramurals, Recreation and Sport Clubs at 773-702-4658 or [email protected].

Please return all applicable documents to the University of Chicago Office of Intramurals, Recreation and Sport Club Office within ten (10) working days of the receipt of this form to ensure timely processing.

9/1/15