Request for Independent Study : Carlton 2024-2025
Students should attend school on a daily basis during the school year.  However, there are circumstances in which students need to miss school for an extended period of time.  Independent Study is for students who plan to be away from school for a minimum of 3 days but no more than 14 days.  The students will receive their Independent Study packet from their teacher on the last day of school prior to their absence. They will need to complete the assigned work and then turn it back in to their teacher the day they return to school. Once the teacher evaluates their work, the students' absences will be excused.  To request an Independent Study, complete this form. You will need to notify us at least two weeks in advance in order to process your request.  Requests for Independent Study for the first 2 weeks of school or the last 2 weeks of school will not be approved.
Sign in to Google to save your progress. Learn more
Email *
Student's First Name *
Student's Last Name *
Teacher's Name *
Parent/Guardian's Name *
Best Phone Number to Call *
Best Email to Reach Parent/Guardian *
Reason for Request *
Does your child have an IEP? *
Start Date *
MM
/
DD
/
YYYY
End Date *
- Last Day of Independent Study not Return to School Date
- Must be between 3-14 School Days
MM
/
DD
/
YYYY
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
This form was created inside of Union School District.

Does this form look suspicious? Report