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Email address *
Institution *
Student-Athlete Name *
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Is or was the student listed above a student-athlete at your institution? *
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Number of years (seasons) of eligibility used at your institution: *
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Dates student attended your institution: *
Attendance *
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Number of full-time semesters/quarters attended: *
Please list all full-time semesters attended at your institution *
Did the student graduate from any associates or bachelors degree program at your institution? *
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Did student transfer to your institution? *
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If yes, please list previous institution:
Per NCAA regulations, does this student meet the satisfactory progress requirements? *
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Would the student have been eligible to participate if he/she remained at your institution? *
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For NJCAA transfers: If the student-athlete had eligibility remaining, would this student-athlete be eligible?
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Was the student disqualified or suspended from your institution for disciplinary reasons (as opposed to academic reasons)? *
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Did the student-athlete receive a hardship waiver or any additional exceptions? *
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If yes, name the waiver/exception:
If yes, list the years received:
Do you release this student for immediate participation at Penn State Scranton if all eligibility requirements are met? * *
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