Written Student Learning Plan
Middle School

This form only needs to be submitted one time per student each school year. If any information changes, please reach out to your consultant and they will be happy to help update it.  
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Today's Date *
MM
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DD
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YYYY
Choose the academic year *
Parent or Guardian Email *
MCP Start Date
This is the first day of school for the school year or the first day of the month after you register your child.
 *
MCP End Date
This is the last day of school for the current school year
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Student Last Name *
Student First Name *
Middle School Student Grade Level
Click here for elementary school options
Click here for high school options
 *
Which program will this student be joining? *
In which school district does the student reside? *
Will the student be enrolled at another other school? *
If yes, which school and for what reason/class?
Please indicate the status of this student. *
Does student have a current 504? *
Does student have a current IEP? *
A full time student has 27.75 hours on their learning plan. Please indicate how many hours you will spend each week between MCP classes and instruction at home.  

Weekly Academic Hours/FTE 
(Full time K-8=27.75 hours)
 *
Each week we must have weekly contact with the students and a certificated teacher. Please indicate whether your student will have in person instructional contact time (this is most common...if they are taking classes at MCP then this is the option you should mark.) If your student is NOT taking classes at MCP then please mark the second option. 

Method of Weekly Certified Contact: 
 *
In submitting this learning plan you agree to the following commitments:
If you have questions or concerns about these statements, please reach out to your consultant or the MCP office.
 *
I agree
My child will demonstrate progress toward mastery of appropriate learning standards.
We will attend scheduled conferences with our consultant.
Our curriculum will be based on and follow Washington State Standards.
We will document daily/weekly instructional activities and provide samples of student work upon request.
I understand that monthly learning goals/performance objectives will be used in a monthly evaluation of progress.
My child will participate in state testing if they are above 80% FTE. (This is required for all students enrolled above 80%).
My child will participate in district assessments (Fall, Winter, Spring).
I recognize that it is my privilege and right to provide religious instruction for my student, but understand that time spent in religious or doctrinal instruction cannot be used as documented time for the purpose of supporting the learning plan.
Parent or Guardian First and Last Name as consent *
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