Request for Independent Study (Elementary)- LINCOLN

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Requests must be made at least seven (7) school days before the Independent Study begins.

Email *

Scholar First Name *

Scholar Last Name *

REMINDER: Per the Family/Scholar Handbook, independent study requests will not be granted during the following time frames:

-The first three (3) weeks of school
-The last three (3) weeks of school

-The final two (2) weeks of each grading period (quarter)

Beginning Date of Independent Study *

YYYY

Ending Date of Independent Study *

YYYY

Total number of Independent Study Days Requested
*

Reason for Independent Study Request *

Elementary Grade *

Teacher *

Street Address *

City *

Zip Code *

Parent Phone *

A copy of your responses will be emailed to the address you provided.

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