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NATIONAL JUNIOR COLLEGE ATHLETIC ASSOCIATION(1)

VIEWS: 3 PAGES: 1

									           REQUEST FOR APPLICATION OF ARTICLE V, SECTION 3.E
                                  NJCAA High School Waiver Form
Article V, Section 3.E: Student-athletes who are completing high school and are simultaneously
enrolled in 12 or more credits at a college are eligible for athletic participation with the completion of the
NJCAA High School Waiver Form (Form 3.E). This form must be signed by the student-athlete’s high
school Principal and the College President. This provision is applicable to only those student-athletes
whose high school class has not graduated at the time of college enrollment.

Directions: The original copy of this form must be included in your eligibility audit file. Please
forward a copy to the Regional Director and the Cooperating High School.
National Junior College Athletic Association Requirements:
   1. The students must be completing their senior high school year and beginning their
      freshman college year simultaneously.
   2. The students must be enrolled in at least twelve (12) credit hours of college work (full-
      time) as listed in the official catalog of the NJCAA Member College which they are
      enrolled.

1. Name of Student __________________________________________________________
   Address__________________________________________________________________
2. Name of High School _______________________________________________________
   Address__________________________________________________________________
3. Name of NJCAA Member College _____________________________________________
   Address__________________________________________________________________
4. Scheduled Date of High School Graduation______________________________________
5. Scheduled Date of NJCAA Member College Enrollment ____________________________
6. Name of Sport(s) Student will be Participating in __________________________________

I hereby apply for the above described Athletic Agreement and pledge that it will be
conducted in accordance with all the regulations and policies of the National Junior
College Athletic Association.
__________________________________                     ________________________________
Student Signature                                      High School Principal

_________________________________                     _________________________________
Date                                                   NJCAA Member College President Signature


                    NATIONAL JUNIOR COLLEGE ATHLETIC ASSOCIATION
                    1631 Mesa Avenue, Suite B, Colorado Springs, CO 80906

								
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