Louisa County Middle School -          Parent/Guardian Request to Override Recommendations
This form must be completed and submitted by the parent or guardian for the 2022-2023 academic year. Please submit a separate form for each request for a class change.
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Email *
Regarding elective classes, it may not be possible to change this selection due to scheduling constraints. If the change of placement is requested for a higher level class in English, Math, Science, or Social Studies, and the student receives a D or lower within the first interim of the new academic year, the student may be moved back to his or her original placement after the first interim date has passed. After the first interim has passed, if the student has a C- and continues to struggle, and the teacher feels that the child may receive a D or F for the first marking period, the student may be moved back to his or her original placement at the end of the nine-weeks.
*Please note that our teachers consistently monitor student progress. There are opportunities for students to move to a higher level class based on consistent student performance, and the teacher believes that the student excels above and beyond in his or her original placement and would benefit at a higher level.

Student First Name *
Student Last Name *
Student Grade Level *
Recommended Course/Subject *
Requested Course/Subject *
 Please explain carefully your reasons for requesting the higher or lower level course *
Parent/Guardian First Name *
Parent/Guardian Last Name *
Parent/Guardian Phone Number *
Parent/Guardian Email
** Override request forms for middle school students must be filled out and completed no later than Friday, May 13th, 2022.  All forms received after these dates may not be honored.
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