Student Eligibility Request Form
Form ID Number
waiver->id; ?>



Type of Waiver
Submitted data->submitted_at)); ?>
waiver_type->name); ?>
OSAA Rule waiver_type->rule; ?> waiver_type->default_handler_type, 'Executive Director')): ?> - Handled by the OSAA Executive Director - Send directly to District Athletic Committee
school_year->slug; ?> School Year
waiver_type->default_handler_type, 'District Athletic Committee') and ($object->data->student->xfer_grade_deficiency or $object->data->student->xfer_sat_prog)): ?>
data->student->xfer_grade_deficiency and !$object->data->student->xfer_sat_prog): ?> (Student also has a grade deficiency) data->student->xfer_grade_deficiency and $object->data->student->xfer_sat_prog): ?> (Student is also not making satisfactory progress toward graduation) (Student also has a grade deficiency and is not making satisfactory progress toward graduation)


school->name; ?> Information
school->address)): ?> school->address->line_1; ?>
school->address->city; ?>, school->address->state; ?> school->address->zip; ?>
school->getPhoneNumbers('W', false)->number); ?>
school->principal)): ?> school->principal->getDisplayName(); ?>, Principal school->principal->email)): ?>
school->principal->getDisplayEmail(); ?> school->principal->getDisplayPhone())): ?>
school->principal->getDisplayPhone(); ?> No Principal Listed
school->ad)): ?> school->ad->getDisplayName(); ?>, Athletic Director school->ad->email)): ?>
school->ad->getDisplayEmail(); ?> school->ad->getDisplayPhone())): ?>
school->ad->getDisplayPhone(); ?> No Athletic Director Listed



Student Information
student->getDisplayName(); ?> student->country->slug, 'US')): ?>
student->country->name; ?>
DOB: student->birth_date)); ?>
Age: student->birth_date); $elasped = $now - $dob; $years = floor($elasped / 365 / 24 / 60 / 60); $elasped -= $years * 365 * 24 * 60 * 60; $months = floor(($elasped / 365 / 24 / 60 / 60) * 12); if ($months > 1) { echo sprintf('%d years %d months', $years, $months); } elseif ($months == 1) { echo sprintf('%d years %d month', $years, $months); } else { echo sprintf('%d years', $years); } ?> (as of )


Current Address
data->stewards->residing->name; ?>
waiver->getRelation($object->data->stewards->residing->relation); ?>
data->stewards->residing->address->line_1; ?>
data->stewards->residing->address->line_2)): ?> data->stewards->residing->address->line_2; ?>
data->stewards->residing->address->city; ?>, data->stewards->residing->address->state; ?> data->stewards->residing->address->zip; ?>

data->stewards->residing->email)): ?> data->stewards->residing->email; ?>
data->stewards->residing->phone)): ?> data->stewards->residing->phone); ?>
data->stewards->residing->notes)): ?> data->stewards->residing->notes; ?>
data->stewards->residing->is_governing): ?>
Parent/Guardian
data->stewards->governing->name; ?>
waiver->getRelation($object->data->stewards->governing->relation); ?>
data->stewards->governing->address->line_1; ?>
data->stewards->governing->address->line_2)): ?> data->stewards->governing->address->line_2; ?>
data->stewards->governing->address->city; ?>, data->stewards->governing->address->state; ?> data->stewards->governing->address->zip; ?>

data->stewards->governing->email)): ?> data->stewards->governing->email; ?>
data->stewards->governing->phone)): ?> data->stewards->governing->phone); ?>
data->stewards->governing->notes)): ?> data->stewards->governing->notes; ?>
data->stewards->past_residing->name) or !Helpers::strIsEmpty($object->data->stewards->past_residing->address->line_1) or !Helpers::strIsEmpty($object->data->stewards->past_residing->address->line_2) or !Helpers::strIsEmpty($object->data->stewards->past_residing->address->city) or !Helpers::strIsEmpty($object->data->stewards->past_residing->address->zip) or !Helpers::strIsEmpty($object->data->stewards->past_residing->email) or !Helpers::strIsEmpty($object->data->stewards->past_residing->phone) or !Helpers::strIsEmpty($object->data->stewards->past_residing->notes) or $object->data->stewards->past_residing->is_same): ?>
Last Year's Address
data->stewards->past_residing->is_same): ?> Same as current address data->stewards->past_residing->name; ?>
waiver->getRelation($object->data->stewards->past_residing->relation); ?>
data->stewards->past_residing->address->line_1; ?>
data->stewards->past_residing->address->line_2)): ?> data->stewards->past_residing->address->line_2; ?>
data->stewards->past_residing->address->city; ?>, data->stewards->past_residing->address->state; ?> data->stewards->past_residing->address->zip; ?>

data->stewards->past_residing->email)): ?> data->stewards->past_residing->email; ?>
data->stewards->past_residing->phone)): ?> data->stewards->past_residing->phone); ?>
data->stewards->past_residing->notes)): ?> data->stewards->past_residing->notes; ?>
data->student->notes)): ?>

data->student->notes; ?>

Attends: data->student->current_school; ?> data->student->previous_school)): ?>
Previous: data->student->previous_school; ?>
Grade: data->student->grade; ?>
Has IEP?
data->student->has_iep) ? 'Yes' : 'No'; ?>
Meeting IEP?
data->student->has_iep) ? (($object->data->student->meeting_iep) ? 'Yes' : 'No') : 'N/A'; ?>


Enrollment Record
data->student->records as $record): ?> data->student->records) == 0): ?>
SY GR Period Dates School # Credits Earned # Classes Passed
school_year; ?>-school_year) + 1), 2, 2); ?> grade; ?> period; ?> first_date)); ?> to last_date)); ?> school; ?> credits_earned; ?> classes_passed; ?>
No student enrollment records have been added.

data->notes)): ?>
Notes
data->notes; ?>


Affirmation Statement
waiver_type->default_handler_type, 'Executive Director')): ?> Under penalty of perjury, the parties below have affirmed that no coach, parent, administrator, teacher, or other representative of the current school initiated contact or offered any inducements for the purpose of having the student attend the current school for athletic participation. Further, they authorized release of permanent school records to the Oregon School Activities Association.

data->signatures->administrator->name)): ?> This form was not digitally signed by the school Principal/Superintendent. E-signed by Principal/Superintendent, data->signatures->administrator->date)); ?>

/ data->signatures->administrator->name; ?> /
data->signatures->administrator->name; ?>
data->signatures->parent->name)): ?> This form was not digitally signed by the Parent/Guardian. E-signed by parent, data->signatures->parent->date)); ?>

/ data->signatures->parent->name; ?> /
data->signatures->parent->name; ?>

Under penalty of perjury, I do affirm that no coach, parent, administrator, teacher, or other representative of the current school initiated contact or offered any inducements for the purpose of having the student attend the current school for athletic participation. Further, I authorize release of permanent school records to the Oregon School Activities Association.

Both signatures are required.

Parent Signature (or host family)
Principal / Superintendent


Directions
waiver_type->default_handler_type, 'Executive Director')): ?> Keep a copy of this Student Eligibility Request Form for your school's records. The OSAA has received your form electronically. If additional information is required, your form will be returned as insufficient in order to allow you the opportunity to edit your form and re-submit. Allow five business days for your request to be processed. Once a decision is made, your school will be notified by e-mail.
Do not send a printed version of this form to the OSAA office. An electronic copy has been received.
Ensure the Affirmation Statement section has both signatures. Send this printed Student Eligibility Request Form and any attached files to your District Athletic Committee. Do not send this to the OSAA office. Keep a copy for your school's records. Allow five business days for your request to be processed. Once a decision is made, the District Athletic Committee will notify your school.
Send a printed version of this form directly to your District Athletic Committee with any other printed attachments.

waiver_type->default_handler_type, 'Executive Director')): ?>
District Athletic Committee Decision
This section is to be filled out by the District Athletic Committee. Once a decision has been made, the committee shall contact the school regarding the outcome and forward a copy of this completed form and any supplemental materials to the OSAA office.

Chairperson's Name (print)
Date


Approved

Denied
Chairperson's Signature


Chairperson's School & Position


Notes:




OSAA Executive Director Decision
This section is to be filled out by the OSAA Executive Director.

Signature
Date


Approved

Denied




Notes:




data->decisions) > 0 and Helpers::strEqual(end($object->data->decisions)->type, 'Executive Director')): ?>
data->decisions)->decided_at)); ?>
data->decisions)->is_eligible): ?> data->decisions)->is_eligible and strtotime(end($object->data->decisions)->decided_at) != strtotime(end($object->data->decisions)->eligible_at)): ?>
Student is eligible effective data->decisions)->eligible_at)); ?>



Appeals Process
waiver_type->default_handler_type, 'Executive Director')): ?> Appeals of decisions made by the OSAA Executive Director are heard by the OSAA Executive Board. Appeals must be requested in writing, or e-mail, and submitted to the OSAA Executive Director.

Any party filing an appeal of a decision made by the OSAA Executive Director to the OSAA Executive Board shall be assessed a filing fee of $100 to defray the costs to the Association of assembling the respective appeals bodies to hear the appeal.

If a waiver is denied by the OSAA Executive Board, an appeal can be made to a Hearings Officer under OSAA Handbook Rule 9, "Hearings Officer." Appeals to the Hearings Officer shall include an appeal fee of $250. Appeals of decisions made by the District Athletic Committee are heard by the OSAA Eligibility Appeals Board. Appeals must be requested in writing, or e-mail, and submitted to the OSAA Executive Director.

Any party filing an appeal of a decision made by the District Athletic Committee to the OSAA Eligibility Appeals Board shall be assessed a filing fee of $100 to defray the costs to the Association of assembling the respective appeals bodies to hear the appeal.

If a waiver is denied by the OSAA Eligibility Appeals Board, an appeal can be made to a Hearings Officer under OSAA Handbook Rule 9, "Hearings Officer." Appeals to the Hearings Officer shall include an appeal fee of $250.

For additional information, please refer to the OSAA Handbook available at www.osaa.org/governance/handbooks.