Chattahoochee County Board of Education

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Chattahoochee County Middle High School 360 Ga Hwy 26 Cusseta, Georgia 31805 706-989-3678

David McCurry Superintendent Sandi Veliz Principal

Bo Oates Assistant Principal

CCHS - PETITION TO GRADUATE To Former Chattahoochee County High School Students: On March 30, 2015, Governor Nathan Deal signed House Bill 91 into law, thereby creating a new code section, O.C.G.A. § 20-2-281.1. This law became effective upon the Governor's signature. Thus, a previous student, no longer enrolled in Chattahoochee County High School and who previously failed to receive a high school diploma or was denied graduation solely for failing to achieve a passing score on one or more portions of the Georgia High School Graduation Tests or the Georgia High School Writing Test may petition the Chattahoochee County Board of Education to determine the Student’s eligibility to receive a high school diploma pursuant to O.C.G.A. § 20-2-281.1 based on the graduation requirements in effect when the Student first entered ninth grade. Submit this completed and signed form by mail to: Melissa Wilkinson, Guidance Department OR submit in person at Chattahoochee County High School (360 Hwy 26 Cusseta, GA 31805). If you are submitting a petition by mail, include a scanned/copied image of your government issued photo identification. Incomplete information may delay processing. Previous Student’s Information: _____________________________________________________________________________________ First Middle Last Suffix _____________________________________________________________________________________ Current Address Phone Number email address Did student go by any other name in high school? If yes, what name? ____________________________ ____________________________________________________________________________________ Date of Birth Last 4 digits of SSN Gender Year student would have graduated from CCHS By signing below, I am verifying that the above information is complete and accurate. Student’s Signature: ______________________________________

Date: _____________________

The Petitioner has met the requirements to receive a regular high school diploma. _________________________________________________________________________ The Petitioner has not met the requirements to receive a regular high school diploma. _____________________________________________________________________________________ Signature Position Date