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 ________
OR
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 _______________