GHS End of Year Activities Participation Appeal Form

READ CAREFULLY AND FILL THIS OUT COMPLETELY
(Incomplete submissions will not be considered.)

-Your grade level administrator or program administrator will review your appeal.
-You will be notified by email of the decision.
-No appeal is guaranteed to be approved.
-Appeals are reviewed in the order received.
-Once available tickets to ticketed events are gone, no others will be available. Therefore, an approved appeal is no guarantee of an available ticket or spot.

Criteria to attend GHS End of Year Activities:

*2.0 GPA or higher
*21 Credits (12th Grade) 15 Credits (11th Grade)
*No level 3 Referrals
*No more than two referrals total of any level(s)
*No items or monies owed

Student Name Student Name First Last
Student ID
Must be 6 characters. Currently Entered: 0 characters.
First period teacher name (or first class you have each day)
Student Email
Email Confirmation
Today's Date Today's Date / MM / DD YYYY
Your Assistant Principal for Your Class or Program

Your Assistant Principal for Your Class or Program Class of 2023 (Leeper) Class of 2024 (Maz) Class of 2025 (Packard) Class of 2026 (Martin) IB (Macri) 9-12
You are not eligible because: (Check all that apply)

You are not eligible because: (Check all that apply) Credits: I am at least 1/2 credit behind GPA: I am below a 2.0 Discipline: I have a level 3 referral. Discipline: I have more than 2 referrals Owed: I owe items or monies not paid
If you are not on track, what specific actions you have taken to recover missing credits?

If you are not on track, what specific actions you have taken to recover missing credits? Recovered at least .5 credits in APEX this semester (January-Present) Attended ESD at least once a week from January-March Currently attending Co-Enrolled this semester (January-Present) Making up a credit on FLVS or eSchool Attending Saturday school (ATS) On the 18-credit plan AND currently on-track with my GPA
If your GPA is below a 2.0 what was your Quarter 3 GPA?
If your GPA is below a 2.0 are you currently passing all of your classes with a C or higher?

If your GPA is below a 2.0 are you currently passing all of your classes with a C or higher? Yes No
If you are not eligible for discipline due to a level 3 referral please select any that apply.

If you are not eligible for discipline due to a level 3 referral please select any that apply. This is the only referral I have EVER had in high school I have completed the assigned online course that was issued as my consequence My level 3 referral was NOT for fighting My level 3 referral was NOT for drugs, weapons or theft/vandalism
If you are not eligible due to having more than two referrals, please describe circumstances you would like us to consider.
If you are not eligible due to items or monies owed, tell us what items you have returned or monies you have paid. List items or monies paid below to be verified.