Course Credit Request Form
Students wishing to receive credit for any non-accredited high school course(s) will be required to complete two steps: 1) Complete this form with the required information for each course they wish to transfer in; 2) Take a Content Mastery Exam for any core courses (Math, Science, English, History) taken during the most recent academic year or pass a higher level course with NorthStar Academy.

This form must be completed BEFORE you begin the course unless you are a new transfer student to NorthStar Academy.

Ex: Your child wants to transfer to NSA as an 11th grader and has completed home school up through 10th grade. For each course taken in 9th grade and 10th grade, a Credit Request Form must be completed. For the four core courses taken in 10th grade, your child must take a Content Mastery Exam and receive a 70% or better or pass a higher level course. Note: The Homeschool or non-accredited course grade will be listed on the transcript (not the Course Mastery Exam score).

Please view our Transfer Credit policies and contact the guidance office (guidance@northstar-academy.org) if you have questions about this form.

Transfer Credit Policies: https://www.northstar-academy.org/transfer-credits/

NOTE: Please complete the information below, and click Submit to submit this online form. Forms submitted in any other format will not be accepted.
Student Name *
Parent/Guardian/Supervisor Name: *
Parent/Supervisor Email *
School Year that course was/will be Completed *
Please list the full school year. For example, 2019-2020 OR 2020-2021
Course Name (Please only list one course per form) *
Course Description *
Instructor Name *
Instructor Credentials/Certifications *
Course Objectives *
Course Resources Used *
Number of Credits Earned *
Total Number of Direct Contact Instruction Hours *
***For extracurricular courses, such as piano or ballet, you must include total hours of instruction time. For example, list the hours the student worked with the instructor directly. Practice time or homework away from the instructor does not constitute direct contact hours. In the case of extracurricular activities, confirmation of these hours will need to be provided by the instructor. The instructor can email the NSA Guidance Office directly (guidance@northstar-academy.org) with confirmation of these hours, or the instructor can provide confirmation on letterhead and the student's supervisor can forward that on to the NSA Guidance Office.
Grade Earned
If you have already completed this course as transfer credit, please enter your grade. If you are reporting a planned Homeschool course, you will submit the grade at the end of the course.
How will you verify learning in this course? *
Any Additional Information
Payment Options: Please indicate below how you wish to pay the $50 homeschool transfer credit fee.
Clear selection
Next Steps
Please allow at least 5 business days for a response. We will contact you if more information is needed or to confirm that the course credit request has been approved. Thank you!
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