TO : Colonial Athletic Association

SUBJECT : INJURY HARDSHIP-WAIVER REQUEST⁽¹⁾

Student-Athlete[Last Name, First and Middle Initial]:

Sport: Season Petition Relates To[Academic Year]:

NCAA Bylaw 14.2.5 provides that a student-athlete may be granted an additional year of competition for reasons of "hardship", which is defined as that incapacity resulting from injury or illness provided:

1. the student-athlete has not participated in more than 20 percent or two of the institution's completed events in that sport; and
2. the injury of illness occurred in the first half of the season and resulted in incapacity to compete for the remainder of the season.
   1. Number of contests in which the student-athlete participated.
   2. Number of contests the institution completed in the sport. 20% limitation.
   3. Percentage of the completed events in which the student-athlete participated.
   4. Date of incapacitating injury or illness.

The following information MUST be attached to this request:

1. A copy of the institution's published schedule identifying those contests in which the student-athlete participated.
2. The complete medical records and a signed statement from the attending medical doctor (not trainer) describing the nature and extend of injury or illness, including certification from the doctor of the extent and duration of the incapacity.

Appeal submitted by [Director of Athletics]: & [Date]:

Head Coach: & [Date]:

Appeal prepared by: Kristen A. Ball, Assistant Director of Athletics and Institutional NCAA Compliance Coordinator: & [Date]

1. Request WILL NOT be submitted before the conclusion of the season in question.