Schedule Change Request/Deadline to
submit request: Sept. 11, 2007
All schedule changes are subject to
course availability and appropriate course selection.
Before completing this form, please understand that the following schedule change requests WILL NOT be considered:
Teacher change
Elective change
Lunch period change
AP or PreAP level change (unless requesting to move up)
“Change of Mind” change
SUBMITTING
THIS FORM DOES NOT GUARANTEE A SCHEDULE CHANGE.
PLEASE PRINT
I will continue to follow my current schedule until I receive a drop/add slip from a counselor. I also understand that submitting a request is not a guarantee there will be a change.
Name:_______________________________________ Grade__________ ID#_______________________
Phone:_______________________ Date______________ Counselor________________________________ E-Mail Address:__________________________________________________________________________
Parent’s Signature___________________________________ Date_________________________________
DROP: Course Name Teacher ADD: Course Name
1.______________________ __________________ 1.__________________________
Reason for Request to Drop_________________________________________________________________
Teacher’s Signature____________________________________
2.______________________ __________________ 2.__________________________
Reason for Request to Drop_________________________________________________________________
Teacher’s Signature____________________________________
Teacher Comments:___________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Other Comments:_________________________________________________________________________
_______________________________________________________________________________________
_______________________________________________________________________________________
Approved:___________ Denied_____________
Counselor:________________________________ Date:_______________
Administrator: _____________________________ Date:_______________