Summer Enrichment Application

Online Enrichment Application

Student Name: _______________________________ Date of Submission: _________________

(Please Print: Last Name, First Name)

Grade in 2016-2017: ______________ Counselor: ___________________________

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Rationale for request: (please check one)

ORIGINAL CREDIT: _______ I am seeking original credit for a course I have not yet taken at WMHS

If you have selected “Original Credit” please provide a rationale for your request:

Advancement Fulfilling Graduation Requirements Course Not Offered at WMHS

Other (please provide rationale) _________________________________________________________________________________

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Name of Course: ______________________________ Provider: _____________________

**Please attach a complete course description from the online provider, cooperating school or independent instructor for the desired course, along with contact information for that institution or individual

Expected Start Date: _________________

· In order to ensure complete processing of summer requests prior to summer sessions, any applications for Original Credit must be submitted to the appropriate WMHS School Counselor by. Any requests submitted after will be processed as quickly as possibly depending on the availability of counselors and administrators during summer session

· Any course taken by an WMHS student without the prior approval of administration will NOT be granted WMHS credit

· Enrichment courses do not get calculated into the student’s cumulative GPA but are listed on the transcript

· Cost for enrichment classes is the sole responsibility of the parent/guardian.

· On line enrichment classes do not meet NCAA requirements.

Student Signature: ___________________________________ Date: ____________________

Parent/Guardian Signature: ____________________________ Date: _____________________

Parent/Guardian email: ________________________________Phone: ____________________

***********Do not write below this line. For WMHS official school use only ***********

Denied Approved Number of credits: _______

Content Area Supervisor: _____________________________________________ Date: _____________

Counselor Signature: __________________________________________________ Date: _____________