Parent - Initiated Placement
School Year 2020-2021
Email address *
Student Name *
Your answer
Student Number *
Your answer
Class of *
Required
REQUESTED COURSE TO BE DROPPED
(One Course per Form)
Course # *
Your answer
Course Name *
Your answer
REQUESTED COURSE TO BE ADDED
(One Course per Form)
Course # *
Your answer
Course Name *
Your answer
REASON FOR REQUEST: (Please provide a brief explanation for a change in placement.) *
Your answer
Student Electronic Signature *
(Please type name in the space provided below)
Your answer
Date *
Your answer
Required Parent Authorization
Although I have discussed placement with the appropriate department chairperson (or department representative) and have carefully considered the criteria used for the department placement, I request that my student's placement be changed. I understand that my student must remain in the class for the remainder of the semester requested if this class is not recommended by school staff. *
Required
Parent's Electronic Signature *
(Please type name in the space provided below)
Your answer
Date *
Your answer
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