Distance Learning Pass/No Pass Request Form 2020-2021

STEM Prep

This form is to request a change of previously reported letter grades to Pass/No Pass for students who were in 11th or 12th grades in 2020-2021 as indicated by Assembly Bill 104. This should be completed by the student or parent/guardian.

It is important to note that some postsecondary educational institutions, including those in other states, may not accept a Pass or No Pass grade instead of a letter grade for admission purposes.

This form must be submitted by August 31, 2021.

Student’s Full Name
Grade Level in 2020-2021
Request Date
Courses for Pass/No Pass Request Instructions: Indicate the course(s) and the semester(s) requested to change to Pass/No Pass. Course #1 ____________________________________________________________ Semester 1 Semester 2 Course #2 ____________________________________________________________ Semester 1 Semester 2 Course #3 ____________________________________________________________ Semester 1 Semester 2 Course #4 ____________________________________________________________ Semester 1 Semester 2 Course #5 ____________________________________________________________ Semester 1 Semester 2 Course #6 ____________________________________________________________ Semester 1 Semester 2 Content Areas: History, English, Math, Science/Project Lead the Way, Language Other than English, Visual & Performing Arts, College Prep or High School Elective
Student Signature
Parent/Guardian Name & Signature
Grade Level Counselor Process & Response Meet with the student and parent/guardian to review the request and learn about how this change is reflected on the transcript and GPA for prospective colleges to limit any negative impacts. Finalize the request together. If approving the request, complete the Distance Learning Grade Replacement form. Store in the student's cumulative file. Decision: Approved Denied Signature:

Formulario de solicitud de aprobación / no aprobación de aprendizaje a distancia 2020-2021

Este formulario es para solicitar un cambio de calificaciones con letras reportadas previamente a Aprobado / No Aprobado para estudiantes que estaban en el 11 ° o 12 ° grado en 2020-2021 como lo indica el Proyecto de Ley 104 de la Asamblea. Esto debe ser completado por el estudiante o el padre / tutor.

Es importante tener en cuenta que algunas instituciones educativas postsecundarias, incluidas las de otros estados, pueden no aceptar una calificación de Aprobado o No Aprobado en lugar de una calificación de letra para fines de admisión.

Este formulario debe enviarse antes del 31 de agosto de 2021.

Nombre del estudiate
Nivel de grado en 2020-21
Fecha de solicitud
Cursos para solicitud de pase / no pase Instrucciones: Indique los cursos y semestres solicitados para cambiar a Aprobado / No Aprobado. Curso #1 ____________________________________________________________ Semestre 1 Semestre 2 Curso #2 ____________________________________________________________ Semestre 1 Semestre 2 Curso #3 ____________________________________________________________ Semestre 1 Semestre 2 Curso #4 ____________________________________________________________ Semestre 1 Semestre 2 Curso #5 ____________________________________________________________ Semestre 1 Semestre 2 Curso #6 ____________________________________________________________ Semestre 1 Semestre 2 Áreas de contenido: historia, inglés, matemáticas, ciencia / Project Lead the Way, otro idioma que no sea inglés, artes visuales y escénicas, preparación universitaria o electiva de escuela secundaria
Firma del estudiante
Nombre y firma del padre / tutor
Grade Level Counselor Process & Response Meet with the student and parent/guardian to review the request and learn about how this change is reflected on the transcript and GPA for prospective colleges to limit negative impacts. Finalize the request together. If approving the request, complete the Distance Learning Grade Replacement form. Store in the student's cumulative file. Decision: Approved Denied Signature: