Oregon Revised Statutes Chapter 702 § 702.017 — Application form; contents; issuance of certificate of registration

Application form; contents; issuance of certificate of registration. (1) An applicant for registration as an athlete agent shall submit an application for registration to the Department of Education in a form prescribed by the department and, if requested by the department, shall allow the department to take fingerprints for the purpose of requesting a state or nationwide criminal records check under ORS 181A.195. (2) The application must be in the name of an individual and, except as otherwise provided in subsection (3) of this section, signed or otherwise authenticated by the applicant under penalty of perjury. The application must state or contain: (a) The name of the applicant and the address of the applicant’s principal place of business; (b) The applicant’s date of birth and place of birth; (c) The following contact information for the applicant: (A) Cellular and work telephone numbers; and (B) Any means of electronic communication, including a facsimile number, electronic mail address and personal, business or employer website addresses; (d) The following information about the applicant’s business or employer, if applicable: (A) Name, address and telephone numbers; (B) The nature of the business; and (C) The type of organization; (e) Each social media account with which the applicant or applicant’s business or employer is affiliated; (f) Any business or occupation engaged in by the applicant for the five years preceding the date of submission of the application, including self-employment and employment by others, and any professional or occupational license, registration or certification held by the applicant during that time; (g) A description of the applicant’s: (A) Formal training as an athlete agent; (B) Practical experience as an athlete agent; and (C) Educational background relating to the applicant’s activities as an athlete agent; (h) The names and addresses of three individuals not related to the applicant who are willing to serve as references; (i) The name, sport and last known team for each individual for whom the applicant acted as an athlete agent during the five years preceding the date of submission of the application; (j) The names and addresses of all persons who are: (A) A partner, member, officer, manager, associate or profit sharer of the athlete agent’s business or who directly or indirectly hold an equity interest of five percent or greater of the athlete agent’s business if the business is not a corporation; and (B) An officer or director of a corporation employing the athlete agent or a shareholder having an interest of five percent or greater in the corporation; (k) A description of the status of any application by the applicant, or any person named under paragraph (j) of this subsection, for a state or federal business, professional or occupational license, other than as an athlete agent, from a state or federal agency, including any denial, refusal to renew, suspension, withdrawal or termination of the license and any reprimand or censure related to the license; (L) Whether the applicant or any person named pursuant to paragraph (j) of this subsection has pleaded guilty or no contest to, has been convicted of, or has charges pending for a crime that, if committed in Oregon, would be a crime involving moral turpitude or a felony, and if so, identification of the following: (A) The name of the crime; (B) The law enforcement agency involved; and (C) If applicable, the date of conviction and penalty imposed; (m) Whether there has been any administrative or judicial determination that the applicant or any person named pursuant to paragraph (j) of this subsection has made a false, misleading, deceptive or fraudulent representation; (n) Whether there has been any denial of an application for, suspension or revocation of, refusal to renew or abandonment of the registration or licensure of the applicant or any person named pursuant to paragraph (j) of this subsection as an athlete agent in any state; (o) Any sanction, suspension or disciplinary action taken against the applicant or any person named pursuant to paragraph (j) of this subsection arising out of occupational or professional conduct; (p) Any instance in which the conduct of the applicant or any person named pursuant to paragraph (j) of this subsection resulted in the imposition of a sanction, suspension or declaration of ineligibility to participate in an interscholastic, intercollegiate or professional athletic event on a student athlete or an educational institution; (q) The name of each student athlete for whom the applicant acted as an athlete agent for the five years preceding the date of submission of the application or, if the athlete is a minor, the name of the parent or guardian of the athlete, together with the athlete’s sport and last known team; (r) Whether, within the 15 years preceding the date of submission of the application, the ap