§ 43-4A-5 - Application for registration
               	 		
O.C.G.A.    43-4A-5   (2010)
   43-4A-5.    Application for registration 
      An  applicant for registration shall submit an application for registration  to the Secretary of State in a form prescribed by the Secretary of  State. An application filed under this Code section is a public record.  The application shall be in the name of an individual and state or  contain the following and any other information required by the  Secretary of State:
      (1)  The name of the applicant and the address of the applicant's residence and principal place of business;
      (2)  The name of the applicant's business or employer, if applicable;
      (3)  Any  business or occupation engaged in by the applicant for the five years  next preceding the date of submission of the application;
      (4)  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;
      (5)  The names and addresses of three individuals not related to the applicant who are willing to serve as references;
      (6)  The  name, sport, and last known team for each individual for whom the  applicant acted as an athlete agent during the five years next preceding  the date of submission of the application;
      (7)  The names and addresses of all persons who are:
            (A)  With  respect to the athlete agent's business if it is not a corporation, the  partners, members, officers, managers, associates, or profit sharers of  the business; and
            (B)  With respect  to a corporation employing the athlete agent, the officers, directors,  and any shareholder of the corporation having an interest of 5 percent  or greater;
      (8)  Whether the applicant or  any person named pursuant to paragraph (7) of this Code section has  been convicted of a crime that, if committed in this state, would be a  crime involving moral turpitude or a felony, and identify the crime;
      (9)  Whether  there has been any administrative or judicial determination that the  applicant or any person named pursuant to paragraph (7) of this Code  section has made a false, misleading, deceptive, or fraudulent  representation;
      (10)  Any instance in  which the conduct of the applicant or any person named pursuant to  paragraph (7) of this Code section resulted in the imposition of a  sanction, suspension, or declaration of ineligibility to participate in  an interscholastic or intercollegiate athletic event on a student  athlete or educational institution;
      (11)  Any  sanction, suspension, or disciplinary action taken against the  applicant or any person named pursuant to paragraph (7) of this Code  section arising out of occupational or professional conduct; and
      (12)  Whether  there has been any denial of an application for, suspension or  revocation of, or refusal to renew the registration or licensure of the  applicant or any person named pursuant to paragraph (7) of this Code  section as an athlete agent in any state.