Schedule Change Request Form
Student Contact Information: Email
Student Contact Information: phone number
Mrs. Davis (C/O 2023) Last names A-K
Mr. Aalderks (C/O 2023) Last names L-Z
Mr. Armijo (C/O 2022)
Mrs. Kuwada (C/O 2021)
Mrs. Rosenbloom (C/O 2020)
Reason for Change
Schedule is missing a period.
Course was taken and passed.
Moving from an AP, Honors, or Regular level class.
Seniors needing to meet requirement for graduation.
Course not needed to graduate.
Other extenuating circumstances
List course(s) you want to drop
List course(s) you want to add. Please indicate first choice and second choice.
Parent Contact Information: Email or Phone #
Is your parent aware of this schedule change?
Print this form and obtain your parents signature (please give signed form to the counselor's clerk) Make sure you click SUBMIT after printing!
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