SCHEDULE CHANGE REQUEST FORM
TH ROGERS MIDDLE SCHOOL
FALL SEMESTER 2015-2016
Student’s Name______
LAST FIRST MI
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***** ATTENTION STUDENTS *****
READ THE FOLLOWING ITEMS CAREFULLY!
Ø All requests for a schedule change must have all required signatures and a detailed reason for the change should be included.
Ø The deadline for turning in a schedule change request form is Friday, September 4th. No late request form will be accepted.
Ø Schedule changes are subject to class availability. Since some changes require the shifting of other classes, it may not be possible to grant the request due to conflicts and/or class size.
Ø Final approval for schedule changes will be granted by Ms. Johnson.
Ø Students will follow the schedule they have been given until notified by the Ms. Johnson that a change has been made. Failure to follow this procedure will result in the student being counted absent in the scheduled classes.
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I am requesting the following schedule correction(s):
DROP COURSE ADD COURSE
Course Name Course # Course Name Course #
______
______
______
THE REASON FOR SCHEDULE CHANGE (BE DETAILED – USE THE BACK OF PAGE IF NECESSARY)
______
______
Parent’ Signature______Date______Parent’s Daytime Phone#______
Student’s Signature______Teacher’s Signature ______
If Required Only
RETURN THIS COMPLETED FORM TO THE MIDDLE SCHOOL OFFICE.
OFFICE USE ONLY:
GRANTED:______DENIED:______
Reason ______
6TH GRADE ELECTIVES / 7TH GRADE ELECTIVES / 8TH GRADE ELECTIVESOnly make request for changes if you want to drop/add orchestra or the 6th grade enrichment rotation classes.
*These are the only two electives available during the Fall Semester. / Art 7
Exploratory Science 7
Media
Information Literacy
Intermediate Theatre
Chinese
French
Spanish / Art 8
Art 1A
Advanced Theatre
Debate 1A
Information Literacy
Media
Rock Your World Documentary