Official Request for Hardship Waiver

Email Secondary Email

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Email address *

Student Name *

Sport(s) *

Institution *

Academic Year *

Date of Hardship *

Date Picker

Brief Summary of Hardship *

Number of contests participated in *

Number of scheduled contests *

Include the follow attachments:

Letter from the student athlete describing the hardship in question.
Letter from the Athletic Director confirming details of the hardship
Copy of published schedule.
Individual statistics for the season as recorded by the Sports Information Director.
All other applicable supporting documentation

To the best of my knowledge, based on the information provided, this student athlete is truthful in his/her statements and meets the requirements of the USCAA Bylaw 24.12 to be granted a hardship waiver for the academic year of *

Prepared By *

Date *

Date Picker

Signature of Director of Athletics *

Date *

Date Picker

* required field