2023 Division III Region 3 Diving Regional Participant Manual - Hosted by the New York University Palladium Athletic Facility

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2023 Division III Region 3 Diving Regional Participant Manual - Hosted by the New York University Palladium Athletic Facility
2023 Division III
       Region 3
 Diving Regional
Participant Manual
  Hosted by the New York University
      Palladium Athletic Facility
     February 24th and 25th, 2023

                   1
2023 Division III Region 3 Diving Regional Participant Manual - Hosted by the New York University Palladium Athletic Facility
TABLE OF CONTENTS
Welcome                                                       3
Championships Personnel                                       4
Schedule of Events                                            5
Qualifying Procedures                                         6
Hotel Information                                             6
Facility Information                                          7
    Directions to Facility                                    7
    Facility Diagrams                                         9
    Team Parking/Entrance                                    10
Credentials                                                  10
Coaches’ Meeting                                             11
Concessions                                                  11
Drug Testing                                                 11
Emergency Contacts                                           11
Hospitality                                                  11
Lockers                                                      11
Media Information                                            12
Medical Information                                          12
Merchandise                                                  15
Uniforms                                                     15
Videotaping                                                  15
NCAA Regional Judge Panel Selection Form                     16

                                           Forms to Submit
Team Travel Party Form                                       17
Protest Form                                                 21

                                                 2
2023 Division III Region 3 Diving Regional Participant Manual - Hosted by the New York University Palladium Athletic Facility
Dear Coach:

I am pleased to welcome you and your team to New York University and the 2023
NCAA Division III Region 3 Diving Regional. This event annually features some of the
most outstanding diving student-athletes in the country.

Our staff has worked hard to prepare for this event and we pledge to do all we can
to provide an outstanding competitive experience for you and your student-
athletes. If there is anything we can do to make your stay more enjoyable please
do not hesitate to contact our event management staff.

Sincerely,

Stuart Robinson
Director of Athletics

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2023 Division III Region 3 Diving Regional Participant Manual - Hosted by the New York University Palladium Athletic Facility
CHAMPIONSHIPS PERSONNEL
NCAA Representative                         Office Phone         Cell Phone     E-Mail
Will Hopkins, Associate Director of         317-917-6779         317-363-0843   whopkins@ncaa.org
 Championships

Sport Administrators
Matt Huck, Senior Associate Athletic Director 212-998-2037       917-543-1170   matt.huck@nyu.edu

Championship Staff
Todd Kolean                                                      646-772-7057   Tbk1@nyu.edu
Dominick Ciaccia                            212-992-8541         646-772-7029   dominick.ciaccia@nyu.edu
Steve Herishen                              212-992-8503         646-739-8403   steve.herishen@nyu.edu

Coaching Staff
Todd Kolean                                 212-998-2064         646-772-7057   tbk1@nyu.edu
Trevor Miele                                212-992-8516         917-553-0246   tm2152@nyu.edu

Facility Staff
Dominick Ciaccia                            212-992-8541         646-772-7029   dominick.ciaccia@nyu.edu
Steve Herishen                              212-992-8503         646-739-8403   steve.herishen@nyu.edu

Athletic Communications
Jeffrey Bernstein                           212-998-2031         646-772-7021   jeffrey.bernstein@nyu.edu
Kai Henson                                  212-998-2071         646-315-2847   kai.henson@nyu.edu

Athletic Training
Arturo “Roy” Flores                         212-998-2083                        arturo.flores@nyu.edu
Daniel Cerquera                             212-998-7073         646-265-6630   daniel.cerquera@nyu.edu
Ashley Robbins

Sports Marketing
Craven Wright                               212-998-2040                        cw4239@nyu.edu

                                                             4
ORDER OF EVENTS
       2023 (Even Years – All Regions)                             Odd Years – All Regions
      DAY 1 Men’s 3M & Women’s 1M                             DAY 1 Women’s 3M & Men’s 1M
      DAY 2 Men’s 1M & Women’s 3M                             DAY 2 Women’s 1M & Men’s 3M

                               SCHEDULE OF EVENTS
                             (All times are local unless otherwise stated)

Friday, February 24
9 a.m.                        Coaches Meeting - PAF Conference Room C2 level
10 a.m.                       Open Boards
11 – 11:45 a.m.               Flight 1
11:45 a.m. – 12:30 p.m.       Flight 2
12:30 – 1:15 p.m.             Flight 3
1:15 – 2 p.m.                 Open Boards
2p.m.                         Boards closed
2:15 p.m.                     Women’s 3 meter
** This should help with numbers on women’s 3 meter with one board to give a better opportunity to
warm up. **
** Men can warm up 1 meter but MUST allow the women to go to the front of the line for preps.**
2:15 – 3 p.m.                 Women’s 3 meter
3 – 3:30 p.m.                 Men’s Flight 1
3:30 – 4 p.m.                 Men’s Flight 2
4 – 4:30 p.m.                 Men’s Flight 3
4:30 p.m.                     Men’s 1 meter
6:30 p.m.                     Boards Open
7:30 p.m.                     Boards Closed

Saturday, February 25
8 – 9 a.m.                     Boards open
9 – 9:45 a.m.                  Women’s Flight 1
9:45 – 10:30 a.m.              Women’s Flight 2
10:30 – 11:15 a.m.             Women’s Flight 3
11:15 a.m. – 12 p.m.           Open Boards
12 p.m.                        Boards Closed
12:15 – 2:15 p.m.              Women’s 1 Meter
2:30 – 3 p.m.                  Men’s Flight 1
3 – 3:30 p.m.                  Men’s Flight 2
3:30 – 4 p.m.                  Men’s Flight 3
3:30 – 4:00 p.m.               Open Boards
4:15 p.m.                      Men’s 3 Meter
6:15 p.m.                      Event Ends

                                                  5
QUALIFYING PROCEDURES
Divers will qualify for the NCAA championships based on performances at their respective regional meet.

Qualifying Procedures
Each regional diving meet will be given a fixed number of NCAA championship qualifiers to ensure
equitable access opportunities. This number will be determined by the number of divers eligible to
compete in a given region who have submitted all necessary information to compete in regional
competition. At the end of the qualification period, all divers eligible to compete in a regional meet, as
determined by the criteria listed, will be assigned to their geographic region. The number of eligible divers
at each region will be divided by the total number of eligible divers at all regions then multiplied by 24 for
men and 29 for women to determine the ratio for assigned qualification spots. Regardless of ratios, no
region will have less than two qualifiers. The regional qualification allocation shall be posted on ncaa.org
by Thursday, February 23rd, 2023. Qualifiers for the NCAA Division III Men’s and Women’s Swimming and
Diving Championships will be determined through the processes listed on page 18 of this manual.

Number of Qualifying Spots per Regional for 2023

        Women                        Men
        Region 1                   Region 1
        Region 2                   Region 2
        Region 3                   Region 3
        Region 4                   Region 4

                                        Hotel Information
NYU has set up a block of rooms for the NYU Diving Championship at the Courtyard
Manhattan/SoHo, just a short walk from campus. Please click HERE to reserve your
room by 2/16/2023. Availability and rates are subject to change after 2/16/2023. If you
need personalized assistance at the Courtyard Manhattan/SoHo, feel free to email
Lara.Braunstein@marriott.com.

**You have to move quickly** This price closes on the 16th.

                                                      6
Facility Information
Palladium Athletic Facility
140 East 14th St., New York, NY 10003
(212) 992-8500

From Local Airport

Arrive into LaGuardia, Kennedy or Newark Airport. Take a taxi to 140 E. 14th Street, or
take a shuttle bus or charter bus to Grand Central Station. Once at Grand Central
Station, take Lexington Avenue subway (Local or Express 4,5,6,) downtown to Union
Square stop (14th St. Station). Exit the subway station and walk east along 14th Street.
Palladium is located on the south side of the street between 3rd and 4th Avenues.

By Train

Conrail to Grand Central Station: Take Lexington Avenue subway (Local or Express
4,5,6,) downtown to Union Square stop (14th St. Station). Exit the subway station and
walk east along 14th Street. Palladium is located on the south side of the street
between 3rd and 4th Avenues.

Amtrak to New York Penn Station at 34th Street: Take Eighth Avenue subway (Local
or Express A,C,E) downtown to 14th Street. Transfer to the Brooklyn bound L train to
3rd Avenue stop. Exit the subway station and walk west on 14th Street. Palladium is
located immediately on the south side of the street between 3rd and 4th Avenues.
By Car

From Upstate New York or the New England area: Take the New York State
Thruway to Willis Avenue Bridge (Major Deegan Expressway in the Bronx, I-87). Cross
over to FDR Drive in Manhattan and drive south to the 23rd Street exit. Make a right
onto the exit and drive to 3rd Avenue. Make a left down 3rd Avenue and continue until
14th Street. Make a right on 14th Street. Palladium is located immediately on the south
side of the street between 3rd and 4th Avenues. Lincoln Tunnel (New Jersey): Upon
exiting the tunnel follow signs for downtown. Make a right onto 9th Avenue. Drive south
and make a left onto 14th Street. Palladium is located on the south side of the street
between 3rd and 4th Avenue.

Holland Tunnel (New Jersey): Upon exiting the tunnel, take the ramp towards
Downtown/Brooklyn. Make a left onto Avenue of Americas (6th Avenue). Drive uptown
and make a right onto 14th Street. Palladium is located on the south side of the street
between 3rd and 4th Avenue.

Midtown Tunnel (Long Island): Upon exiting the tunnel, stay to the left towards the
signs that read "Downtown." Make a left at the first light onto 35th Street. Make a right
onto 2nd Avenue and drive to 14th Street. Make a right on 14th Street. Palladium is
located on the south side of the street between 3rd and 4th Avenue.

                                                 7
CRWC

8
Facility Diagram

       9
TEAM PARKING/ENTRANCE

Team Parking
There is no team or spectator parking. Below are parking garages in the area that are a short distance to
PAF. Team buses may drop off in front of the facility at the 140 E. 14th Street location.

Parking
It is highly recommended to contact local garages ahead of time to confirm space for Passenger vans.
Here are a couple local garages nearby that typically take vans…

Passenger Vans

    ● LaSalle Parking, 220 E 9th St, New York, NY 10003
    ● Park-it Lafayette, 410 Lafayette St, New York, NY 10003
    ● LAZ PARKING, 85 Wanamaker Pl, New York, NY 10003

Passenger vehicles

    ● Icon Parking, 101 E 13th St, New York, NY 10003
    ● Parkitny, 200 E 15th St #1, New York, NY 10003

Entrances for Palladium Athletic Facility

Main Entrance, 140 E. 14th Street, between 3rd Ave & 4th Ave

Secondary Entrance, 133 E. 13th Street, between 3rd Ave & 4th Ave

****14th Street TRAFFIC PATTERN CHANGES****

The NYC DOT has recently made changes to 14th Street, limiting traffic to buses between 3rd Ave and
9th Ave, 6am-10pm. Please plan your travel route accordingly if you are driving.

                                           CREDENTIALS
Lanyard credentials will be issued to all coaches, athletic trainers and other staff listed in the official travel
party. Student-athletes will receive bag-tag credentials in the coaches’ packet at the Wednesday
afternoon coaches’ meeting. Credentials will gain staff and student-athletes access to areas closed to
spectators, such as the pool deck. Credentials must be worn at all times while on-site.

Please fill out the Team Travel Party Form (Page 22) to ensure we have the proper number of credentials
made for your staff upon arrival.

                                                       10
COACHES’ MEETING
A mandatory coaches’ meeting will be held Friday, February 24th at 10 a.m. at Palladium Athletic Facility
Conference Room C2. Each coach will receive their championships packet containing credentials and
updated information pertinent to the championships at this meeting. The judges’ panel will be determined
by random selection in this meeting.

                                          CONCESSIONS
No Concessions will be available at Palladium, but there are ample restaurants and delis that you can
take advantage of in the area.

                                             DRUG TESTING
All student-athletes may be subject to NCAA drug testing at all NCAA championships or in conjunction
with all postseason certified events. The goal of the drug-testing program is to provide safe, fair, and
equitable competition as well as to protect the health and safety of all NCAA student-athletes participating
in NCAA championships and postseason certified events. Additional information regarding the NCAA’s
championship drug-testing program is located at www.ncaa.org/drugtesting.

                                 EMERGENCY CONTACTS
Emergency:                                       911
NYU Campus Security:                       212-998-2222

                                           HOSPITALITY
Hospitality will be available to all student-athletes, coaches, and team personnel.

Coaches/Championship Staff
Snacks and drinks will be provided all day in Conference Room C2. A lunch and dinner will be provided
each day of competition.

Student-Athletes
PAF Pool Storage Room right off the pool deck. Snacks and drinks will be provided throughout the
competition.

**All hospitality areas will require credentials to access.

                                               LOCKERS
Locker rooms are located on C1 or C2 in PAF. The entrance will be available through from the main lobby
hallway. Participating teams will not have assigned lockers and must provide their own locks. Our deck
space is limited. Place all backpacks and other non-essential items in lockers.

All participants will be responsible for their personal items. The host site is not responsible for lost or
stolen items.

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MEDIA INFORMATION
Event Broadcast
A live broadcast of the meet will be available at:
https://gonyuathletics.com/sports/2022/8/23/live-broadcasts.aspx

Event Results
Live results will be available at www.divemeets.com and:
https://secure.meetcontrol.com/divemeets/system/meetinfoext.php?meetnum=8932.
The athletic communication offices of participating institutions will be provided with results via email.

Credentials
All media members and SIDs interested in covering the championships should submit requests to Jeffrey
Bernstein (jmb14@nyu.edu) by February 22.

General Information
●    Wireless Internet access will be available. Guest pass codes will be posted on the pool deck.
●    There will be no designated interview area. Please contact Steve Herishen to make any interview
     requests.

                                 MEDICAL INFORMATION
All medical care will be coordinated through the Palladium Athletic Facility Athletic Training Room by the
Head Athletic Trainer, Roy Flores. The athletic training room is located outside the pool area, in the Varsity
Hallway. At least one Certified Athletic Trainer and one athletic training student will be present during all
practice and competition times. A team physician will be on-call for the competition preliminaries and
finals. During the championships, the NYU Athletic Training Room hours will coincide with the hours the
PAF is open and available for swimmers and divers.

                                      Host Emergency Medical Plan

1.     Student-athlete injured in the diving well.
       a.   Natatorium lifeguard staff will provide initial care while a student-athlete is in water.
       b.   The injured student-athlete’s athletic trainer or the on-site athletic trainer will handle care of their
            student-athlete once the diver is removed from the pool.
       c.   Assistance will be provided by the host athletic trainer as required by the level of seriousness of
            the situation.
       d.   In the event that the injury is a medical emergency, EMS will be activated.
       e.   In the event EMS personnel are present at the facility, they will be summoned by the following:
            (1) The aquatics director or assistant aquatics director.
            (2) Championships medical director or designee.
            (3) Department of recreational services staff.
            (4) Natatorium lifeguard

                                                      12
f.    In the event EMS personnel are not present at the Natatorium, the EMS system will be activated
           by using a cellular telephone, a regular telephone located on the pool deck, or a regular telephone
           located in the athletic training room office.
     g.    The call to the 9-1-1 dispatcher will be made by one of the following individuals:
           (1) The aquatics director or assistant aquatics director.
           (2) Championships medical director or designee.
           (3) Department of recreational services staff.
           (4) Natatorium lifeguard.
     h.    The following information will be provided to the 9-1-1 dispatcher in the event of a medical
           emergency:
           (1) Name of individual placing the call.
           (2) Nature of the emergency (“injured diver during diving competition”).
           (3) Type of injury (head injury, fracture, dislocation, loss of consciousness, collision with diving
                 board).
           (4) Location - PAF Pool
           (5) Access point - example: loading dock, south entrance of CRWC, West Court Street.
           (6) The individual making the call to the 9-1-1 dispatcher will meet the responding emergency
                 personnel and escort them to the Natatorium and the injured diver.
           (7) If the injury is not a medical emergency, the respective student-athlete’s athletic trainer
                 will manage the situation accordingly. They will be assisted by the Championships Medical
                 Director or designee.

2.   Non-student-athlete medical issues (on the pool deck).
     ●    Will be managed by the championships medical director or designee.

3.   Spectator medical issues.
     a.   Spectators in the stands will ask the nearest event staff worker for assistance.
     b.   A Natatorium lifeguard will provide first aid to any spectator.

                                        Miscellaneous Information

1.   Emergency supplies provided for the championships.
     a.   Natatorium lifeguard staff.
          (1) AED.
                 ●     Located in the Natatorium Pool Office.
          (2) In-water spine board (3).
                 ●     Located in Natatorium.
          (3) Rescue pole (5).
                 ●     Located in Natatorium.
          (4) Rescue ring (6).
                 ●     Located in Natatorium on lifeguard stands.
          (5) Rescue tube (6).
                 ●     Located in Natatorium on lifeguard stands.
          (6) BBP control kits.
                 ●     Located in Natatorium on lifeguard stands.
     b.   Certified athletic trainers.
          (1) Emergency vacuum immobilizer splints.
          (2) Knee immobilizer.
          (3) Crutches.
          (4) OSHA supplies.
          (5) Slings.
                                                   13
(6) Medical kit.
          All located in the athletic training room.

2.   Telephone locations in/around the competition pools.
     ●    Land-line telephones are found in the following locations.
          a.    In Lifeguards Office
          b.    Athletic Training Room office.
          c.    Pool Director's Office

3.   Medical facilities available for the championships.
     ●    Student-athlete health care is provided at PALLADIUM ATHLETIC TRAINING ROOM. For the most
          urgent emergency medical issues that arise during the championships, NYU LANGONE HEALTH
          MEDICAL CENTER will be the contact hospital. The TISCH HOSPITAL is located at 550 1st Ave.,
          New York, NY 10016. This facility will be used for non-urgent medical care (x-rays, MRI, clinical
          examinations, laboratory work).

          a.    Directions to the NYU LANGONE HEALTH MEDICAL CENTER:
                NYU Palladium Athletic Facility
                140 E 14th St, New York, NY 10003

                Head southeast on E 14th St toward 3rd Ave
                Parts of this road are closed 6:00 AM – 10:00 PM
                Pass by Duane Reade (on the left)
                0.3 mi

                Turn left onto 1st Ave.
                285 ft

                Continue straight to stay on 1st Ave.
                0.1 mi

                Continue straight to stay on 1st Ave.
                0.7 mi
                NYU Langone Health
                550 1st Ave., New York, NY 10016

                b. Closest Pharmacy- CVS (corner of 5th Ave and 14th St.)
                65 5th Ave, New York, NY 10003

                                                   14
MERCHANDISE
Event1 is the official merchandiser for NCAA championships. Merchandise will be available at the entrance
of the PAF starting 90 minutes prior to the start of the day’s events. It will remain close 1 hour after the
beginning of the second event.

                                            UNIFORMS
Regulations regarding uniforms for divers are detailed in Rule 3 of the NCAA Swimming and Diving Rules
Book. If a student-athlete competes in an illegal swimsuit, that student-athlete shall be disqualified
from that event.

                                         VIDEOTAPING
Videotaping for personal use is permitted if it does not interfere with spectators or media. Each
participating team is permitted to have one person tape competition with a single camera for institutional
purposes only. Flash photography is prohibited.

                                                    15
NCAA Regional Judging Panel Selection Form
    *Use this form to aid in the selection of judges for each day/event. (Makes copies as necessary.)

1. Fill out the respective Regional form as names are pulled.

2. Identify the number of institutions competing/judges available; this will determine the number of
judges need.

3. Draw names by random selection and complete the respective column.

4. Head Referee will be hired by host sites and used as Head Referee and Judge for all Panels.

5. The Head Referee will name an assistant Referee for each panel.

6. If a coach coaches 2 institutions, a representative from both institutions will be in the judging pools.
However, both representatives cannot serve on the same panel. The selection process in this instance
will be following:

    a. Both institutions are entered into the selection pool.
    b. For the 6-12 judge panels, once one institution is selected for Panel A, the other institution is
       automatically put on Panel B or vice versa. (There is no opportunity for the 2nd institution to be
       selected for Panel A&B).
    c. In the 13+ judge panel, once one institution is selected for Panel A, the 2nd institution is taken
       out of consideration for Panel A.
       The second institution is then put back out for selection for Panel B.

        If neither institution is selected for Panel A, once one is selected for Panel B, the other
        institution is removed from the pool.

The NCAA Rep on site will manage the Judges Selection process.

                                                     16
TEAM TRAVEL PARTY FORM (Page 1 of 2)
            Institution:
Contact Prior to Arrival:                                  Official Travel Party:
Name/Title:                                                Diving Coach:
Office Phone:                                                 Cell Phone:
Cell Phone:                                                Assistant Coach:
Approx. Practice Time Tuesday:                             Athletic Trainer:
                                                              Cell Phone:
Transportation and Accommodations:
                                                           Administrator (if traveling):
Arrival Date:                      Time:
                                                              Cell Phone:
Hotel:
                                                           Media Relations:
                                                              Cell Phone:
Ground Transportation (on-site):
                                                           Drug Testing:
# Vans:
                                                              Cell Phone:
     ** Limited number of reserved spaces available
          (one van/car permit will be provided)            Other (Please Specify):
Air Travel:
Airline:
Flight #:

Athletic Training:

Will your team bring a massage table?
              Yes                   No

Coaches’ Meeting:

Number attending coaches’ meeting:

                                                      17
TEAM TRAVEL PARTY FORM (Page 2 of 2)
Institution:
Student-Athletes:
        1.                                          11.
        2.                                          12.
        3.                                          13.
        4.                                          14.
        5.                                          15.
        6.                                          16.
        7.                                          17.
        8.                                          18.
        9.                                          19.
        10.                                         20.

                       Due Wednesday, Feb. 22nd by midnight to Todd Kolean
                               tbk1@nyu.edu/Fax: 212-995-4702

                                               18
DIVING TIEBREAKER

                     (Applies to ties on an individual board to identify order of finish)

In the event of a tie between two or more divers from a regional qualifying meet, the tie will be broken
by comparing each of the diver’s total optional score on the board in which the tie has occurred. The
diver with the highest total optional score would have the higher finishing position at their regional
event. In the event there is a tie on the total optional score, the tie will be broken by the higher place on
the opposite board. If one competitor is not competing on the opposite board, the competitor who is
competing on the opposite board automatically will receive the higher selection position. All ties must
be broken prior to diving qualifications/allocations being identified.

                                 DIVING QUALIFICATION

                              (Applies to identification of each allocated spot)

When all results are made final, including any tiebreakers, the allocated spots will be determined as
follows (refer to the Diving Selection Criteria for the allocation formula):

    1. First place finishers from each board will be selected, using two of the allocated spots. If the
       same person finishes first on both boards, only one allocation will be used for that athlete.

    2. Next, second place finishers from each board will be selected, using two of the allocated spots. If
       the same person finishes second on both boards, or one/both of the athletes have already been
       selected, only one or no allocations will be used.

    3. This will continue with each finishing spot (third, fourth, fifth, etc.) until all the allocated spots
       have been assigned for each region.

    4. If there is one allocation left and two divers who have not been selected are up for qualification,
       finishing in the same ranking on each board, the committee will use the divers combined score
       made up of their one-meter and three-meter scores. The competitor who has the highest score
       will be invited to the meet, earning the final allocation.

                                                      19
DIVING PROTEST PROCEDURE

-   At the coaches’ meeting, a meet committee must be designated who will hear and decide all protests.

-   The committee shall consist of five coaches to be selected at the coaches’ meeting. An alternate coach
    should also be identified in the case one of the initial coaches’ student athletes is involved in the
    protest. The site representative and head referee will serve as advisors (non-voting).

-   If a protest should occur, the protesting coach should find a member of the meet committee to turn
    in the protest form.

-   Protests must be received within 30 minutes of the final diving results of that particular event.

-   A member of the meet committee must call Will Hopkins (317-917-6779) to communicate what the
    protest entails.

-   The meet committee will review and vote on the protest; if a protesting coach is involved with the
    meet committee, they should remove themselves from discussion and voting.

-   The meet committee will communicate back to the protesting coach what action they agreed upon.
    All protests are final once action has been taken.

                                                    20
NCAA DIVING PROTEST FORM
This protest form must be complete in full and submitted to the meet committee not later than 30 minutes after the final
diving results of which the protest is applicable. Protests must be acted upon by the appropriate meet committee. The
decision of this committee is final. Any protest before, during or immediately after a race should be resolved at the earliest
opportunity, but not later than immediately following the current session.

Institution:

Coach Name:

Coach Cell Phone Number:

Student-Athlete Name:

Event:

Current Date:

Current Time:

Applicable Rule:

Situation Being Appealed:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________

Justification for Appeal:
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
____________________________________________________________

Committee Decision – Approved: ______________             Denied: ________________

Appeal Meet Committee Signature: ________________________________________

Date: ________________________________________________________________

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