ATHLETIC TRANSFER ELIGIBILITY APPLICATION CIF FORM 207
BACSAC
ATHLETIC TRANSFER ELIGIBILITY APPLICATION CIF FORM 207
957 Helen Avenue San Leandro, CA 94577
Phone: (510) 703-5115 Fax: (888) 418-1702
This application must be accompanied by Form 510. For more information see “Understanding Transfer Eligibility for Parents” Handbook at www.cifstate.org ALLOW 20 BUSINESS DAYS FOR INVESTIGATION AND REVIEW. THE STUDENT MAY MISS SOME PART OF THE SEASON DURING THE REVIEW AND EVALUATION PROCESS. USE THIS FORM FOR ANY TRANSFER OCCURRING AFTER A STUDENT’S INITIAL ENROLLMENT IN THE 9th GRADE OF ANY SCHOOL.
DATE COMPLETED APPLICATION RECEIVED IN CIF SECTION OFFICE: For office use only:
ALL RELEVANT FACTS AND DOCUMENTS MUST BE SUBMITTED WITH THIS APPLICATION. ADDITIONAL FACTS OR DOCUMENTS SUBMITTED LATE MAY NOT BE CONSIDERED BY THE COMMISSIONER.
1. STUDENT’S NAME _______________________________________
____/____/_______ DATE of BIRTH
2. CURRENT ADDRESS ________________________________________
______
(______)_____________
GRADE
PHONE
______________________
___________________
CITY
FORMER ADDRESS _________________________________________
ZIP
______________________
___________________
CITY
3. NEW SCHOOL _____________________________________________ H.S.
ZIP
ENROLLED ON ____ / ____ / ____ MONTH
DAY
YEAR
4. FORMER SCHOOL #1 ______________________________________ H.S. FROM ____ / ____ / ____ TO ____ / ____ / ____ HIGH SCHOOL ATTENDED PRIOR TO NEW SCHOOL
MONTH
DAY
YEAR
MONTH
DAY
YEAR
FORMER SCHOOL #2 _______________________________________ H.S. FROM ____ / ____ / ____ TO ____ / ____ / ____ HIGH SCHOOL ATTENDED PRIOR TO NEW SCHOOL
MONTH
DAY
YEAR
MONTH
DAY
YEAR
5. APPLICATION MADE UNDER THE FOLLOWING (CHECK ONE)
□ NO SPORTS PARTICIPATION IN THE PREVIOUS 12 MONTHS –
□ HARDSHIP CIRCUMSTANCES Bylaw 208 – Documented proof of a
Bylaw 207. B.(1)
hardship is an unforeseeable, unavoidable and uncorrectable act, condition or event, which causes the imposition of a severe and nonathletic burden upon the student or his/her family. Such documents may include, but not be limited to copies of current transcripts, financial documents, medical statements and/or supportive statements from the previous school attended. Bylaw 208.B. ____ Court Ordered Transfer ____ Foster Child ____ Parental Custody Change ____ Military Service ____ Individual Safety Incidents ____ Married Status ____ Board of Education Ruling ____ Discontinued Program
□ RETURN TO PREVIOUS SCHOOL – Bylaw 206.B.(4) □ LIMITED ELIGIBILITY (SUB-VARSITY ONLY) – Bylaw 207.B. □ SIT OUT PERIOD OF INELIGIBILITY Fall Sports: Monday, October 3, 2016 Winter Sports: Monday, January 2, 2017 Spring Sports: Monday. April 3, 2017 (Above dates will be adjusted for students transferring after school’s first game)
6. PLACE A CHECKMARK IN FRONT OF EACH SPORT IN WHICH THE STUDENT COMPETED IN AN INTERSCHOLASTIC ATHLETIC CONTEST AT ANY LEVEL DURING THE 12 MONTHS PRECEDING THE DATE OF TRANSFER.
□ STUDENT DID NOT PLAY ANY SPORTS DURING THE 12 MONTHS PRECEDING THE DATE OF TRANSFER □ BADMINTON □ BASEBALL □ BASKETBALL □ CROSS COUNTRY □ FIELD HOCKEY □ FOOTBALL □ GOLF □ GYMNASTICS □ LACROSSE □ SKIING/SNOWBD □ SOCCER □ SOFTBALL □ SWIMMING □ TENNIS □ TRACK □ VOLLEYBALL □ WATER POLO □ WRESTLING SIGNATURE OF PREVIOUS SCHOOL ATHLETIC DIRECTOR, CERTIFYING THE ABOVE STATEMENT: ___________________________________
7. STUDENT’S GPA IN THE LAST REGULAR GRADING PERIOD OF FORMER SCHOOL: __________________ STUDENT’S TOTAL NUMBER OF SEMESTER UNITS COMPLETED: ___________________ 8. CERTIFICATION OF APPLICATION – I authorize all former and the current school to release all records and requests made by the CIF and to discuss enrollment and extracurricular participation with the CIF. I authorize the CIF to use that information in making its determination. I am authorized to execute this request. I affirm that all of the above statements are true to the best of my knowledge. I further affirm that I understand that if subsequent to the approval of this athletic eligibility application, it is discovered that this approval was granted on false, erroneous, inaccurate or incomplete information, severe penalties affecting the future eligibility of this student-athlete may result (CIF 200.E).
___________________________________________________ Parent/Guardian Signature Date CIF FORM 207
______________________________________________________ Student Signature Date Page 1 of 2
Student Name: _________________________________________ 9. FORMER SCHOOL PRINCIPAL’S STATEMENT THE INFORMATION CONTAINED IN # 5, 8, 9 AND BELOW IS CORRECT TO THE BEST OF MY KNOWLEDGE REGARDING THE STUDENT’S ELIGIBILITY. (PLEASE INITIAL THE APPLICABLE RESPONSE) __________1a. Student WAS academically eligible at our school at the time of his/her transfer to the new school. (#8) __________1b. Student WAS NOT academically eligible at our school at the time of his/her transfer to the new school. __________2a. Student IS NOT transferring as a result of a disciplinary problem or disciplinary action taken or pending. __________2b. Student IS transferring as a result of a disciplinary problem or disciplinary action taken or pending. __________3a. Student IS NOT transferring with a pending or approved expulsion or suspended expulsion. __________3b. Student IS transferring with a pending or approved expulsion or suspended expulsion. __________4a. Student DOES meet all other CIF, CIF Section, League, and School eligibility rules. __________4b. Student DOES NOT meet all other CIF, CIF Section, League, and School eligibility rules. EXPLAIN with which rules the student does not comply: ____________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________
________________________________
______________
PRINCIPAL’S SIGNATURE
PREVIOUS SCHOOL
DATE
10. NEW SCHOOL PRINCIPAL’S STATEMENT THE INFORMATION CONTAINED IN 1-7 (REVERSE SIDE) IS CORRECT TO THE BEST OF MY KNOWLEDGE. I ACCEPT RESPONSIBILITY FOR THE ACCURACY OF ITEM 6 AND UNDERSTAND THAT PENALTIES MAY BE IMPOSED ON MY SCHOOL’S TEAM(S) IF THE INFORMATION PROVES TO BE INCORRECT. (PLEASE INITIAL ALL APPLICABLE LINES.) ______ UNRESTRICTED VARSITY ELIGIBILITY (for “No Sports Participation” or “Return to Previous School” only) ______ LIMITED ELIGIBILITY (Sub-Varsity only) ______ SIT OUT PERIOD OF INELIGIBILITY ______ HARDSHIP EXCEPTION (INCLUDED WITH THIS FORM IS THE STUDENT’S DOCUMENTATION REQUIRED FOR THE REQUEST OF A HARDSHIP WAIVER). 208.B. Consideration of any hardship request to a section requires documentation. Such documents may include, but are not limited to copies of current transcripts, financial documents, medical statements and/or supportive statements from the previous school attended. IN ADDITION TO FAXING COPIES TO THE OAL OFFICE, SUBMIT ALL ORIGINAL DOCUMENTS THROUGH U.S. MAIL. ___________________________________________
________________________________
______________
PRINCIPAL’S SIGNATURE
CURRENT SCHOOL
DATE
11. ROUTING OF APPLICATION AND RESPONSIBILITIES A. THE NEW SCHOOL IS RESPONSIBLE FOR SECURING ALL INFORMATION, STATEMENTS, AND SIGNATURES THROUGH ITEM # 10. INCOMPLETE APPLICATIONS WILL BE RETURNED TO THE NEW SCHOOL’S ATHLETIC DIRECTOR. B. THE SECTION COMMISSIONER WILL REVIEW THE APPLICATION AND INFORM THE NEW SCHOOL’S ADMINISTRATION OF THE DETERMINATION. C. THE NEW SCHOOL’S ADMINISTRATION WILL NOTIFY THE STUDENT OF ACTION TAKEN. 12. SECTION OFFICE USE ONLY
□ APPROVED □ UNLIMITED ELIGIBILITY □ DENIED (SEE FINDINGS BELOW)
□ LIMITED ELIGIBILITY
□ HARDSHIP ELIGIBILITY
□ NO ACTION TAKEN □ INCOMPLETE APPLICATION, RETURN TO SCHOOL FINDINGS: _________________________________________________________________________________________________ ___________________________________________________________________________________________________________ _________________________________________________ SECTION COMMISSIONER CIF FORM 207
_____________________________ DATE Page 2 of 2
ATHLETIC TRANSFER ELIGIBILITY APPLICATION CIF FORM 207
957 Helen Avenue San Leandro, CA 94577
Phone: (510) 703-5115 Fax: (888) 418-1702
This application must be accompanied by Form 510. For more information see “Understanding Transfer Eligibility for Parents” Handbook at www.cifstate.org ALLOW 20 BUSINESS DAYS FOR INVESTIGATION AND REVIEW. THE STUDENT MAY MISS SOME PART OF THE SEASON DURING THE REVIEW AND EVALUATION PROCESS. USE THIS FORM FOR ANY TRANSFER OCCURRING AFTER A STUDENT’S INITIAL ENROLLMENT IN THE 9th GRADE OF ANY SCHOOL.
DATE COMPLETED APPLICATION RECEIVED IN CIF SECTION OFFICE: For office use only:
ALL RELEVANT FACTS AND DOCUMENTS MUST BE SUBMITTED WITH THIS APPLICATION. ADDITIONAL FACTS OR DOCUMENTS SUBMITTED LATE MAY NOT BE CONSIDERED BY THE COMMISSIONER.
1. STUDENT’S NAME _______________________________________
____/____/_______ DATE of BIRTH
2. CURRENT ADDRESS ________________________________________
______
(______)_____________
GRADE
PHONE
______________________
___________________
CITY
FORMER ADDRESS _________________________________________
ZIP
______________________
___________________
CITY
3. NEW SCHOOL _____________________________________________ H.S.
ZIP
ENROLLED ON ____ / ____ / ____ MONTH
DAY
YEAR
4. FORMER SCHOOL #1 ______________________________________ H.S. FROM ____ / ____ / ____ TO ____ / ____ / ____ HIGH SCHOOL ATTENDED PRIOR TO NEW SCHOOL
MONTH
DAY
YEAR
MONTH
DAY
YEAR
FORMER SCHOOL #2 _______________________________________ H.S. FROM ____ / ____ / ____ TO ____ / ____ / ____ HIGH SCHOOL ATTENDED PRIOR TO NEW SCHOOL
MONTH
DAY
YEAR
MONTH
DAY
YEAR
5. APPLICATION MADE UNDER THE FOLLOWING (CHECK ONE)
□ NO SPORTS PARTICIPATION IN THE PREVIOUS 12 MONTHS –
□ HARDSHIP CIRCUMSTANCES Bylaw 208 – Documented proof of a
Bylaw 207. B.(1)
hardship is an unforeseeable, unavoidable and uncorrectable act, condition or event, which causes the imposition of a severe and nonathletic burden upon the student or his/her family. Such documents may include, but not be limited to copies of current transcripts, financial documents, medical statements and/or supportive statements from the previous school attended. Bylaw 208.B. ____ Court Ordered Transfer ____ Foster Child ____ Parental Custody Change ____ Military Service ____ Individual Safety Incidents ____ Married Status ____ Board of Education Ruling ____ Discontinued Program
□ RETURN TO PREVIOUS SCHOOL – Bylaw 206.B.(4) □ LIMITED ELIGIBILITY (SUB-VARSITY ONLY) – Bylaw 207.B. □ SIT OUT PERIOD OF INELIGIBILITY Fall Sports: Monday, October 3, 2016 Winter Sports: Monday, January 2, 2017 Spring Sports: Monday. April 3, 2017 (Above dates will be adjusted for students transferring after school’s first game)
6. PLACE A CHECKMARK IN FRONT OF EACH SPORT IN WHICH THE STUDENT COMPETED IN AN INTERSCHOLASTIC ATHLETIC CONTEST AT ANY LEVEL DURING THE 12 MONTHS PRECEDING THE DATE OF TRANSFER.
□ STUDENT DID NOT PLAY ANY SPORTS DURING THE 12 MONTHS PRECEDING THE DATE OF TRANSFER □ BADMINTON □ BASEBALL □ BASKETBALL □ CROSS COUNTRY □ FIELD HOCKEY □ FOOTBALL □ GOLF □ GYMNASTICS □ LACROSSE □ SKIING/SNOWBD □ SOCCER □ SOFTBALL □ SWIMMING □ TENNIS □ TRACK □ VOLLEYBALL □ WATER POLO □ WRESTLING SIGNATURE OF PREVIOUS SCHOOL ATHLETIC DIRECTOR, CERTIFYING THE ABOVE STATEMENT: ___________________________________
7. STUDENT’S GPA IN THE LAST REGULAR GRADING PERIOD OF FORMER SCHOOL: __________________ STUDENT’S TOTAL NUMBER OF SEMESTER UNITS COMPLETED: ___________________ 8. CERTIFICATION OF APPLICATION – I authorize all former and the current school to release all records and requests made by the CIF and to discuss enrollment and extracurricular participation with the CIF. I authorize the CIF to use that information in making its determination. I am authorized to execute this request. I affirm that all of the above statements are true to the best of my knowledge. I further affirm that I understand that if subsequent to the approval of this athletic eligibility application, it is discovered that this approval was granted on false, erroneous, inaccurate or incomplete information, severe penalties affecting the future eligibility of this student-athlete may result (CIF 200.E).
___________________________________________________ Parent/Guardian Signature Date CIF FORM 207
______________________________________________________ Student Signature Date Page 1 of 2
Student Name: _________________________________________ 9. FORMER SCHOOL PRINCIPAL’S STATEMENT THE INFORMATION CONTAINED IN # 5, 8, 9 AND BELOW IS CORRECT TO THE BEST OF MY KNOWLEDGE REGARDING THE STUDENT’S ELIGIBILITY. (PLEASE INITIAL THE APPLICABLE RESPONSE) __________1a. Student WAS academically eligible at our school at the time of his/her transfer to the new school. (#8) __________1b. Student WAS NOT academically eligible at our school at the time of his/her transfer to the new school. __________2a. Student IS NOT transferring as a result of a disciplinary problem or disciplinary action taken or pending. __________2b. Student IS transferring as a result of a disciplinary problem or disciplinary action taken or pending. __________3a. Student IS NOT transferring with a pending or approved expulsion or suspended expulsion. __________3b. Student IS transferring with a pending or approved expulsion or suspended expulsion. __________4a. Student DOES meet all other CIF, CIF Section, League, and School eligibility rules. __________4b. Student DOES NOT meet all other CIF, CIF Section, League, and School eligibility rules. EXPLAIN with which rules the student does not comply: ____________________________________________________ ___________________________________________________________________________________________________________ ___________________________________________
________________________________
______________
PRINCIPAL’S SIGNATURE
PREVIOUS SCHOOL
DATE
10. NEW SCHOOL PRINCIPAL’S STATEMENT THE INFORMATION CONTAINED IN 1-7 (REVERSE SIDE) IS CORRECT TO THE BEST OF MY KNOWLEDGE. I ACCEPT RESPONSIBILITY FOR THE ACCURACY OF ITEM 6 AND UNDERSTAND THAT PENALTIES MAY BE IMPOSED ON MY SCHOOL’S TEAM(S) IF THE INFORMATION PROVES TO BE INCORRECT. (PLEASE INITIAL ALL APPLICABLE LINES.) ______ UNRESTRICTED VARSITY ELIGIBILITY (for “No Sports Participation” or “Return to Previous School” only) ______ LIMITED ELIGIBILITY (Sub-Varsity only) ______ SIT OUT PERIOD OF INELIGIBILITY ______ HARDSHIP EXCEPTION (INCLUDED WITH THIS FORM IS THE STUDENT’S DOCUMENTATION REQUIRED FOR THE REQUEST OF A HARDSHIP WAIVER). 208.B. Consideration of any hardship request to a section requires documentation. Such documents may include, but are not limited to copies of current transcripts, financial documents, medical statements and/or supportive statements from the previous school attended. IN ADDITION TO FAXING COPIES TO THE OAL OFFICE, SUBMIT ALL ORIGINAL DOCUMENTS THROUGH U.S. MAIL. ___________________________________________
________________________________
______________
PRINCIPAL’S SIGNATURE
CURRENT SCHOOL
DATE
11. ROUTING OF APPLICATION AND RESPONSIBILITIES A. THE NEW SCHOOL IS RESPONSIBLE FOR SECURING ALL INFORMATION, STATEMENTS, AND SIGNATURES THROUGH ITEM # 10. INCOMPLETE APPLICATIONS WILL BE RETURNED TO THE NEW SCHOOL’S ATHLETIC DIRECTOR. B. THE SECTION COMMISSIONER WILL REVIEW THE APPLICATION AND INFORM THE NEW SCHOOL’S ADMINISTRATION OF THE DETERMINATION. C. THE NEW SCHOOL’S ADMINISTRATION WILL NOTIFY THE STUDENT OF ACTION TAKEN. 12. SECTION OFFICE USE ONLY
□ APPROVED □ UNLIMITED ELIGIBILITY □ DENIED (SEE FINDINGS BELOW)
□ LIMITED ELIGIBILITY
□ HARDSHIP ELIGIBILITY
□ NO ACTION TAKEN □ INCOMPLETE APPLICATION, RETURN TO SCHOOL FINDINGS: _________________________________________________________________________________________________ ___________________________________________________________________________________________________________ _________________________________________________ SECTION COMMISSIONER CIF FORM 207
_____________________________ DATE Page 2 of 2
