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Schedule Change Request Form

A student submitted a schedule change request form to drop one class and add another. The form requires the student and parent's names and contact information, the student's grade and counselor, the classes to drop and add, the reason for the change, documentation of parent-teacher contact including ideas discussed, and signatures from the parent, current teacher, and administrator approving or denying the request. If denied, the administrator must contact the parent.

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Natalie Ryan
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© © All Rights Reserved
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Download as PDF, TXT or read online on Scribd
48 views

Schedule Change Request Form

A student submitted a schedule change request form to drop one class and add another. The form requires the student and parent's names and contact information, the student's grade and counselor, the classes to drop and add, the reason for the change, documentation of parent-teacher contact including ideas discussed, and signatures from the parent, current teacher, and administrator approving or denying the request. If denied, the administrator must contact the parent.

Uploaded by

Natalie Ryan
Copyright
© © All Rights Reserved
Available Formats
Download as PDF, TXT or read online on Scribd
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Todays Date ______________

Schedule Change Request Form


Student Name ________________________________

ID # _________

Parent Name _______________________Parent Phone # __________________


Grade___________

Counselor _______________________________

Class to drop:_____________________________ Teacher _________________


Class to add:______________________________
Schedule change initiated by:
Student
Parent
Teacher
If the dropped class is an English, Science, Soc Studies, Math, AP, PreAP,
International Language, or audition class, please compete the next section.

Reason for change:___________________________________________


___________________________________________________________
___________________________________________________________
In order to process the request, personal contact between parent and current
teacher must occur.

Date of contact:________________
Ideas/interventions discussed:__________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________

________________________________
Parent/Guardian Signature

________________________________
Teacher Signature

Schedule change requests require administrative approval


Approved
Teacher input:

Denied

Administrator Signature __________________________

Supported

Not Supported

Date ____________

If denied, date parent contacted by Administrator _____________________


Date change entered by counselor _______________________

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