Move On When Ready Student Participation Agreement (Page 2 of 2) in pdf

II. Move On When Ready Semester/Quarter of Participation: This document is required each semester/quarter

(Select

ONLY

one)

______Summer 2016

____Fall 2016

____Winter 2017

____Spring 2017

I have applied or plan to apply as a MOWR student to the following College/Postsecondary Institution(s):

__________________________________________________________________________________________________________

III. High School Courses To Complete Through MOWR-- Final Schedule Will Be Based On College Availability

_____Part Time (Move On When Ready)

_____Full Time (Move On When Ready)

High School Course Number and Name

Term(s) Course May Be Taken

Sample: 23.034 Advanced Composition

Sample—Fall 2016 or Spring 2017

IV. Only For Students Pursuing Alternate Graduation Option-

Check Below

This completed form should

____Associate’s Degree

not be forwarded to the

____Technical College Diploma

Georgia Department of

____Two (2) Technical College Certificates (TCCs)

Education or the Georgia

Student Finance

Program Study/Major__________________________________________________

Commission.

Anticipated Completion Date____________________________________________

V. Move On When Ready Participation Signatures

Student Name Printed_______________________________________________________________________Date___________________________

Student Signature_________________________________________________________________________________________________________

Phone Number____________________________________ Email___________________________________________________________________

Parent/Guardian Name Printed________________________________________________________________Date___________________________

Parent/Guardian Signature__________________________________________________________________________________________________

Phone Number____________________________________ Email___________________________________________________________________

School Counselor Name Printed_______________________________________________________________Date___________________________

School Counselor Signature_________________________________________________________________________________________________

Phone Number_____________________________________ Email__________________________________________________________________

Georgia Department of Education

Richard Woods, Georgia's School Superintendent

April 7, 2016, Page 2 of 2 All

Move On When Ready Student Participation Agreement Page 2