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Get Dekalb High School Diploma Petition Form

Petitions may be filed by submitting this completed signed form and a scanned /copied image of your photo identification by Mail to Diploma Petition c/o Timothy Hopkins 2029 West DeKalb Street Camden SC 29020 OR Submit in person at any Kershaw County School District High School or the District Office OR Submit as an e-mail attachment to Timothy Hopkins at diploma kcsdschools. Act 155 Diploma Petition Form A person no longer enrolled in a public school who was denied graduation solely for failing to meet the exit exam requirements S*C. Code Section 59-18-310 B may petition the local school board of trustees to determine his or her eligibility to receive a high school diploma* Pursuant to Act 155 http //goo. gl/R8KeKK the local school in the district where the person completed graduation requirements will receive the petition determine the person s eligibility to receive a high school diploma and request a diploma* For more information about ACT 155 visit http //ed*sc*gov/agency/lpa/HSAPEliminationInformation*cfm* All petitions must be filed by December 31 2015. net. Incomplete information will delay processing* Allow 8-10 weeks for processing printing and delivery. Today s Date Primary Contact s Name Full name of student as presented on the birth certificate Student s First Name Student s Middle Name Student s Last Name Generation Jr. II etc* Did student go by any other name in high school If yes what name Student s Date of Birth Student would have graduated from Bethune High Camden High Lugoff-Elgin High North Central High School Year in which student would have graduated If my petition is approved I request that my diploma be Picked-up Mailed to the Primary Contact s Address Kershaw County Schools does not guarantee delivery and is not responsible for damaged lost stolen or undelivered mail* I verify the above information is complete and accurate. Student s Signature BELOW TO BE COMPLETED BY AN OFFICIAL o Photo ID or sight validation accepted Yes No Initial Student s Name on Record Number of credits required during graduating classes of 1990-2000 is 20. Total Completed Did student complete the required number and types of units Yes No If no what unit s were incomplete Student meets all requirements to receive a diploma Yes No Official s Signature Official s Printed Name. Act 155 Diploma Petition Form A person no longer enrolled in a public school who was denied graduation solely for failing to meet the exit exam requirements S*C. Code Section 59-18-310 B may petition the local school board of trustees to determine his or her eligibility to receive a high school diploma* Pursuant to Act 155 http //goo. Code Section 59-18-310 B may petition the local school board of trustees to determine his or her eligibility to receive a high school diploma* Pursuant to Act 155 http //goo. gl/R8KeKK the local school in the district where the person completed graduation requirements will receive the petition determine the person s eligibility to receive a high school diploma and request a diploma* For more information about ACT 155 visit http //ed*sc*gov/agency/lpa/HSAPEliminationInformation*cfm* All petitions must be filed by December 31 2015.

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