аЯрЁБс>ўџ 24ўџџџ1џџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџьЅСM №ПЅbjbjт=т= %*€W€WЅџџџџџџl:::::::NЖЖЖЖ Т,NЙЖњњњњњњњњ8::::::$o Š^:њњњњњ^J ::њњsJ J J њ:њ:њ8J њ8J :J „::„њю Pi|љ’AШNhЖ :„„Д‰0Й„J „J NN::::йCANADIAN INTERUNIVERSITY SPORT LETTER OF INTENT REQUEST FOR RELIEF TO THE CIS ELIGIBLITY COMMITTEE (PURSUANT TO LOI PROVISION 20) This form must be signed and completed by the prospective student before the Eligibility Committee will consider any request. Additionally, a request for release must be made by the student, using the LOI Release Request Form and in accordance with its provisions, prior to filing a request for relief directly with Canadian Interuniversity Sport. Once this form, along with the LOI Release Request Form, is submitted to the CIS office, CIS will provide a copy to the signing institution that will then have an opportunity to respond in writing. After receipt of the institutional response, the request will then be considered. If necessary, the Committee will solicit additional information or response from either of the parties. All parties will be notified in writing of the Eligibility Committee’s decision, which will be final and binding. Form must be complete for consideration. Please print or type. 1. Student’s Full Name: ___________________________________________________________________________________ 2. Student’s E-mail Address: _________________________________________________________ 3. Student’s Phone Number: ______________________ Phone number of parents / legal guardian: ______________________ 4. Institution that issued the LOI: _____________________________________________________________________________ 5. Date student signed the LOI: _______________________________________________________________________________ 6. List in chronological order the student-athlete’s post-secondary educational and participation history below (if applicable): Academic YearInstitutionJurisdiction (CEGEP, CCAA, CIS, etc)Assessed Eligibility? 7. Institution where student is currently enrolled: _________________________________________ 8. Background information (narrative of facts for requesting release from the LOI): ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ 9. Cite any extenuating circumstances that warrant the Eligibility Committee granting a full and complete release (and provide supporting documentation where necessary): ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ ____________________________________________________________________________________________________ 10. By signing and/or submitting this form electronically, I verify that all information submitted in this form is true and accurate. I acknowledge information contained herein may be provided to the signing institution, and I understand the institution may provide information about my signing an LOI to the Eligibility Committee. Student: ___________________________________________Date:______________________________________ Please submit this form electronically or by fax to : cisoffice@universitysport.ca or 613-562-5669 If you are able to provide an e-copy of the Release Request Form indicating “No Release”, as well as any other documentation, please do so. Otherwise, you may forward these other documents by fax or mail as follows: Letter of Intent Request for Relief Canadian Interuniversity Sport N205 - 801 Kind Edward Avenue Ottawa, Ontario K1N 6N5 Fax: (613) 562-5669 * Please allow 4-6 weeks to complete the appeals process * 0ƒзВ й ё  иiЄЅєфеУеУБУеЁУ˜CJOJQJ^J5CJOJQJ\^JmH sH "5CJOJQJ\^JaJmH sH "5CJOJQJ\^JaJmH sH CJOJQJ^JaJmH sH 5CJOJQJ\^JmH sH 5CJOJQJ\^J c‚ƒжз„лN Р 0 Б В Р Ь й ё  §хммжжжжЮЮЮЮЮЮЮУУУУУ $7$8$H$IfЄx7$8$H$7$8$H$ $7$8$H$a$$ Ц#  p@ рА€P №Р!a$Ѕ§  ncccc $7$8$H$If‘$$If–lжж\d$ €<6#€Р€\ €М€њж0џџџџџџів 6жџџџџжџџџџжџџџџжџџџџ4ж laіа           laaaalaaaal $7$8$H$If“$$If–lж”@ж\d$ €<6#€Р€\ €М€њж0џџџџџџів 6жџџџџжџџџџжџџџџжџџџџ4ж laіа   v w Ы 0 • њ _ Ф )ŽѓXН"‡ь–ћ`Х*єYО#ˆљљљљёёёёёёёёёёёёёљёёёёёёёёёёЄx7$8$H$7$8$H$ˆэRЗцч34•–ўџий§:TijЅїїїїїїёёёёёёёёёёёёёёёё7$8$H$Єx7$8$H$#0PАа/ Ар=!Аа"Аа# $ %А i8@ёџ8 NormalCJ_HaJmH sH tH <A@ђџЁ< Default Paragraph Font`>@ђ` Title.$ Ц#  p@ рА€P №Р!a$5CJOJQJ\^J.U@Ђ. Hyperlink >*B*phџЅ*џџџџc‚ƒжз„лNР0БВРЬйё     vwЫ0•њ_ Ф ) Ž ѓ X Н " ‡ ь – ћ `Х*єYО#ˆэRЗцч34•–ўџий§:TijЇ˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€Љ0€€Љ0€€Љ0€€Љ0€€Љ0€€™0€€Љ0€€Љ0€€Љ0€€Љ0€€™0€€Љ0€€Љ0€€Љ0€€Љ0€€™0€€Љ0€€Љ0€€Љ0€€Љ0€€™0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€˜0€€Ѕ  ˆЅЅь э Їь я lnЧЫ39Ї333џџ T.HuismanaC:\Documents and Settings\thuisman\Desktop\CIS (temporary)\Letter of Intent\LOI - appeal form.doc T.HuismanmC:\Documents and Settings\thuisman\Application Data\Microsoft\Word\AutoRecovery save of LOI - appeal form.asd T.HuismanmC:\Documents and Settings\thuisman\Application Data\Microsoft\Word\AutoRecovery save of LOI - appeal form.asd T.HuismanmC:\Documents and Settings\thuisman\Application Data\Microsoft\Word\AutoRecovery save of LOI - appeal form.asd T.HuismanU\\Server01\Company\Files-Tommy Boy\Eligibility\Letter of Intent\LOI - appeal form.doc T.HuismannC:\Documents and Settings\thuisman\Desktop\CIS (temporary)\Letter of Intent\LOI - CIS release request form.doc T.Huismanb\\Server01\Company\Files-Tommy Boy\Eligibility\Letter of Intent\LOI - CIS release request form.docВРЬё     Їžžž–џ@€ь ь р*ь ь Ѕ`@џџUnknownџџџџџџџџџџџџG‡z €џTimes New Roman5€Symbol3& ‡z €џArial"ёˆ№аhsЛfм’МFik )%№а ДД20dё2ƒq№џџCANADIAN INTERUNIVERSITY SPORT T.Huisman T.Huismanўџр…ŸђљOhЋ‘+'Гй0Œ˜РЬрьј  , H T `lt|„фCANADIAN INTERUNIVERSITY SPORTiANA T.HuismanNT.Hu.Hu Normal.dotT T.HuismanT8HuMicrosoft Word 9.0R@ЖЋ@fU›є&Ш@hPє’AШkўџеЭеœ.“—+,љЎ0 hp|„Œ” œЄЌД М чфCIS) ёэ CANADIAN INTERUNIVERSITY SPORT Title ўџџџ ўџџџ"#$%&'(ўџџџ*+,-./0ўџџџ§џџџ3ўџџџўџџџўџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџRoot Entryџџџџџџџџ РFŠ›љ’AШ5€1TableџџџџџџџџџџџџWordDocumentџџџџџџџџ%*SummaryInformation(џџџџ!DocumentSummaryInformation8џџџџџџџџџџџџ)CompObjџџџџjObjectPoolџџџџџџџџџџџџŠ›љ’AШŠ›љ’AШџџџџџџџџџџџџўџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџџўџ џџџџ РFMicrosoft Word Document MSWordDocWord.Document.8є9Вq