Privilege Appeal Form for Grad Bash 2025

This form will be sent to your class administrator for review.

Student Name Student Name First Last
Student Number
Must be a number less than or equal to 999999.
Class

Class IB (Mrs. Marriott) Class of 2025 (Mrs. Wall)
Email

If you want email confirmation from administrator.
Mark if you are new to LOLHS

Mark if you are new to LOLHS I am a new student
You are not on track or You did NOT qualify to purchase a Grad Bash tickets because: (Check all that apply)

You are not on track or You did NOT qualify to purchase a Grad Bash tickets because: (Check all that apply) Credits: I am behind in credits GPA: I am below a 2.00 Discipline: I earned Five or more referrals Attendance: Below 90% attendance in all periods (30+unexcused)
If you are not on track due to credits, describe what specific actions you have taken to recover this credit/credits?

If you are not on track due to credits, describe what specific actions you have taken to recover this credit/credits? I passing all of my classes with a C or the 1st semester. I am on the 18 credit plan I am attending extended day to make up credits. I am on track with my credit recovery class I finished an online class in addition to my 6 period day. I am on track with my credits Other (fill in below) Other (fill in below)
If you are not on track due to attendance, you may earn back your privileges one time AFTER you have completed the following.
Example: If you missed 5 periods of school you have 1 day to make up.

If you are not on track due to attendance, you may earn back your privileges one time AFTER you have completed the following.
Example: If you missed 5 periods of school you have 1 day to make up. 2 hours of academic work after school Other