Class Change Request Form

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Class Change Request
For use during Summer/Fall
In early spring, counselors meet with each returning student to discuss a program of study for the next year. Student interests, goals, and
teacher recommendations are important areas of consideration before students and parents make a decision on a course of study. Until
mid-June, students and parents have an opportunity to make schedule changes. After that date the students, parents, and administration
have made commitments for the following year. If scheduling conflicts arise, counselors are points of contact for students and parents.
After the schedule is set and the staff is hired, it becomes extremely difficult to honor class change requests and still be able to maintain the
integrity of our instructional program. Changes can cause classes to become overcrowded and/or imbalanced thus creating a less than
optimal learning environment. In order to provide the best environment for learning, the administration requires thorough vetting of any
schedule change requests submitted after the end of the school year.
Thank you for your cooperation and support.
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I would like to change _____________________________________ to ____________________________________________
Reason for request:
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I/We understand that a request for class change due to teacher preference will not be considered.
Student Signature _________________________Date ________ Parent Signature ____________________ Date ________
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I understand that I am responsible for making up all work in the new class if enrollment is permitted.
Change recommended
Change not recommended Teacher Signature (Drop)______________________ Date _______
Comments: ____________________________________________________________________________________________
Change recommended
Change not recommended Teacher Signature (Add)______________________ Date ________
Comments: ____________________________________________________________________________________________
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Comments: ___________________________________________________________________________________________
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Change recommended
Change not recommended Counselor Signature________________________ Date _________
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Comments: ___________________________________________________________________________________________
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Request Granted
Request Denied
Administrator Signature ______________________________ Date ______________________
*Requests that are denied may be appealed to the director.
Director’s Comments: ____________________________________________________________________________________
______________________________________________________________________________________________________
Director’s Signature ________________________________________________________ Date _______________________
Please return this signed form to your counselor who in turn may need to provide another form to you for
teacher signatures should other class sections need to be changed.

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