Request for Independent Study (Elementary) - EL DORADO HILLS
Requests must be made at least seven (7) school days before the Independent Study begins.

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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 *
MM
/
DD
/
YYYY
Ending Date of Independent Study *
MM
/
DD
/
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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