Fillable Hardship Application Template - Georgia High School Association printable pdf download

GEORGIA HIGH SCHOOL ASSOCIATION

P.O. BOX 271

THOMASTON, GEORGIA 30286-0004

706-647-7473

HARDSHIP APPLICATION

TO HARDSHIP COMMITTEE – For Exception to the Migratory Rule and/or Academic Rules

TO STATE EXECUTIVE COMMITTEE – For Exception to the Eight Semesters Rule

NOTE: Hardship Applications must be a case of true “hardship” and beyond the control of the school, the student, and his/her

parents. See GHSA Constitution & By-Laws, Article IV, Section 5, Hardship, items #B and #B-4.

SCHOOL ______________________________________

ADDRESS _________________________________

STUDENT _____________________________________

BIRTHDATE ________________________________

PREVIOUS SCHOOL

ATTENDED ____________________________________

ADDRESS _________________________________

ELIGIBILITY REGULATION REQUESTING TO BE WAIVED:

Check:

Migratory

Academic

Eight-Semesters

___________________________________________________

____________________________________

(Principal’s Signature)

(Date)

THE FOLLOWING MUST BE INCLUDED WITH THIS REQUEST (if applicable):

1. Form A (for non-migratory students)

2. Form B (for migratory students)

3. Certified Transcript

4. Statement from principal of previous school that undue influence is not involved with the transfer and a

statement as to the student’s eligibility

5. Letter from principal on particulars of situation (must include documentation if applicable): divorce, (include

custodial papers), separation, guardianship, letters of agreement, death of parent (include death certificate),

broken home, financial situation, illness record of child or family, hospitalization, or any other situations

6. May include supporting documentation and additional information from family, doctors, minister, social

agencies courts, and others

EXECUTIVE DIRECTOR’S RULING:

Approved ________

Referred to Committee ________

Executive Director ______________________________________

Date ________________________

If, in the judgment of the Executive Director, the circumstances of this case are such that hardship status cannot be

granted by the Executive Director, the application will automatically be scheduled for hearing by the Hardship

Committee or Appeal Board or State Executive Committee. The Committee will not hear the case unless the

student and a school representative are present at the hearing (Hardship, Appeal, and/or Executive Committee).

Hearing Date: __________________________________________________________________________.

An agenda indicating the time of your hearing will be mailed approximately five (5) days before the hearing date. If

you wish to withdraw the case, you must call and cancel the appointment or your school will be fined

$100.00.

RULING MADE BY HARDSHIP COMMITTEE: Approved________Denied _________Date _______________

RULING MADE BY APPEAL BOARD:

Approved________Denied _________Date _______________

RULING MADE BY EXECUTIVE COMMITTEE: Approved________Denied _________Date _______________

Hardship Application Template - Georgia High School Association

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