*Secondary Short-Term Independent Study Contract Request / Solicitud de Contrato de Estudio Independiente a corto plazo de Escuelas Secundarias

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Completion of this form will notify teacher/s of your request for a STISC. The teacher/s will have 3 school days to prepare work and either post the work in Google Classroom or communicate with you and/or your student to arrange for pickup of the work.

> All work assigned is due to the main office upon return to school.

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El completar este formulario notificará al/los maestro(s) que usted está solicitando un contrato de estudio independiente a corto plazo (STISC). El/los maestro(s) tienen 3 días de escuela para preparar el trabajo y para publicarlo en su Google Classroom o comunicarse con usted y/o con su estudiante para hacer planes para que pase a recoger el trabajo escolar.

> Todo el trabajo asignado debe entregarse en la oficina principal al regresar a la escuela.

Email *

Does your student have an IEP (Individualized Education Plan)? // ¿Tiene su estudiante un IEP (Plan de Educación Individualizado)? *

If "Yes," then Student Services MUST be contacted prior to entering this contract // Si la respuesta es Sí, se DEBE contactar a Servicios Estudiantiles antes de firmar este contrato.

Yes / Sí

Does your student have a 504 plan? // ¿Tiene su estudiante un plan 504? *

Yes / Sí

School / Escuela *

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