Lake Elsinore Unified School District – Learning Agreement

___Independent Study, Traditional (BP 6158) ___Independent Study, Course-Based Certification (BP 6158.1)

Name: ______Student Number:______Grade: ______

Address: ______Age: ______Birthdate ______

City: ______Zip:______Phone: (_____) ______

Duration of Agreement: Start Date: ______End Date: ______Total Number of School Days:______

School Enrolled: ______Program Placement: General Ed, Special Ed, Continuation, Adult Ed

Objectives, Methods of Study, Methods of Evaluation, Resources:The main objective of this agreement is to aid the student to keeping current with his/her grade studies during the designatedperiod by providing specific assignments and resources identified in the Student Work Assignment Record form(s), which are included with this agreement.The Student Work Assignments are substantially equivalent in quality and quantity to what the student would be required to complete in his/her regular classroom-based instruction and are consistent with the curriculum and certifications adopted by the District’s Board of Education. The term “assignment value” refers to the number of credits (secondary education) or days or weeks of work (elementary education) the student can earn during the term of this agreement.

Maximum Length of an Assignment:With the support of the parent, guardian, or caregiver the student will submit assignments on or before their due date.According to district policy, the maximum length of time that may elapse between the date an assignment is givento the student and the date it is due, is: Kindergarten and grades 1 to 8, inclusive, two school weeks or 10 consecutive school days; Grades 9 to 12, inclusive, and continuation and adult education, four school weeks or 20 consecutive school days, unless an exception is made in accordance with district policy. After three missed assignments, as per board policy, an evaluation will be made to determine whether the student should remain in independent study or be referred to an alternative program, which may include a regular school program. Students must demonstrate they can meet satisfactory educational progress to remain in independent study.
Minimum/Maximum Length of Independent Study Learning Agreement: The minimum period for the independent study learning agreement shall be no less than 5 consecutive school days, and no longer than one school year.
Voluntary Statement:We understand that independent study, including courses authorized by EC section 51749.5, is an optional educational alternative that students voluntarily select and are not required to enroll, including students covered under EC sections48915 and 48917. All students who choose independent study must be offered the alternative of classroom-based instruction and they must have the continuing option of returning to the classroom-based program.
Student Responsibilities:

I understand independent study is an optional educational alternative that I have voluntarily selected and that:

  • I am not required to enroll in Independent Study, including courses authorized by EC section 51749.5.
  • I have the same rights as other students in my grade at my current school.
  • I must follow the discipline code and behavior guidelines of the school, in accordance with district policy.
  • I will complete my assigned work by its due date stated in the Student Work Assignment Record form.
  • I understand that I must complete all of my assignments and demonstrate adequate educational progress to receive academic credit and failure to do so may make me ineligible for independent study at a later date.
  • I will be supervised by and communicate my educational progress frequently to my teacher.

Parent/Guardian/Caregiver Responsibilities:

I understand that independent study is an optional educational alternative for my child that I have voluntarily selected. By signing this agreement I grant permission for my child to receive instruction through independent study and agree to the conditions listed under “Student Responsibilities.” I also understand that:

  • Learning objectives are consistent with and evaluated in the same manner that they would be if my child were attending his/her normal classroom-based studies.
  • I am responsible for supervising my child while he or she is completing the assigned work and for ensuring my child communicates with and submits all completed assignments required for evaluation by dates due to his/her teacher(s).
  • I am liable for the cost of replacement or repair for willfully damaged books & school property checked out to my child.

Signatures and Dates: We have read and understand the terms of this agreement, and agree to all the provisions.

Student______Date______

Parent/Guardian/Caregiver______Date______

Independent Study Supervising Teacher______Date______

Other Person Responsible – Signature(s) on weekly Student Work Assignment Records (Subsidiary Agreement)

Lake Elsinore Unified School District

Student Work Assignment Record Form

(Subsidiary Independent Study Learning Agreement, please complete one per classroom/course)

Student Name:School:

Teacher: Date Assignment Made: ____/____/____ Date Due: ____/____/____

Course (Subject) Title:Course or Section number:

Expectations: Studentsare expected to make adequate educational progressand report/submit their work assignment(s) to their teacher(s) for evaluation by the scheduled duedate. Students are also expected to work on assignments every school day, attend test days, contact the teacher with questions or concerns, and follow all written and spoken directions. This may include logging on, checking emails orannouncements, and recording activities in aDaily Log.

Method (Manner) of Reporting: Telephone, webinar, blogs, email, fax, mail, text message, or in person are acceptable methods of checking in/reporting.Students may check in by any of these methods to clarify assignment(s) or discuss other support options with their teacher(s).

Time: Upon completion of an assignment but not to exceed the maximum length of time according to Board Policy.

Day:Sunday through Saturday. Frequency:Weekly, but not less than every two weeks or 10 consecutive school days.

Credit to be earned: The academic credit to be earned during the independent study will be integrated into the academic credit earned in the regular classroom to arrive at the credit earned by the student for the current grading period.

Methods of Study:Student Reads Answers Questions Completes Worksheets Takes Quizzes or Tests

Other ______

Methods of Evaluation to Measure Satisfactory Educational Progress:Academic evaluations of the work will be made on the same basis as is utilized in the regular classroom for similar work, which may include one or more of the following methods: Demonstration of Skills Written Test Oral Presentation Minimum Performance of 60%

Student Assignment Scores Participation Other

Course(Subject)/Class: / Course Value / Course(Subject)/Class: / Course Value

Online Courses: Refer to Pacing Guides and Learning Units for assignment credit, learning objectives, course/class goals, concepts, materials and other resources, and a description of how satisfactory educational progress is measured. The teacher will evaluate the student’s educational progress no less than twice each attendance month, and by quarter grades determine whether the student should remain in the course/class or be referred to an alternative program, which may include, but is not limited to a regular classroom-based program.

Signatures and Dates: We have read the terms of this subsidiary agreement and agree to all the provisions.

Student: ______Date: ______

Classroom/Course Teacher: ______Date: ______

The following section is to be completed by the assigned class/course teacher after the pupil completes the assignments. Attach additional pages to list assignments and information, if needed.

Course(Subject)/Class / Date Assignment Completed: / Percentage Completed: / Credit or Grade Earned / Comments

Signatures and Dates: We have discussed the above evaluation and criteria to meet satisfactory educational progress

Student: ______Date: ______

Classroom/Course Teacher: ______Date: ______

Lake Elsinore Unified School District

Independent Study Supervising Teacher’s Evaluation Certification

To be completed by the assigned Independent Study supervising teacher after the valuation of student assignments

Student Information

Student Name:Student Number:______ Grade:___

School Enrolled:______

Program Placement:General EdSpecial Ed Continuation Adult Ed

Dates of Assignment Period:Start Date: ______End Date: ______Total Number of School Days: _____

Teacher’s Evaluation Certification Statement and Signature

(Please check the box for the applicable Independent Study option and in the Days of Apportionment Attendance box, enter the actual days associated with each line).

My signature below indicates that I, the assigned Independent Study supervising teacher, have personally assessed:

Independent Study, Traditional (BP 6158): The time value (apportionment credit) of the student’s work products, or that I have personally reviewed the evaluations made by other certificated teachers.

Independent Study, Course-Based Certification (BP 6158.1): The written or computer-based evidence of satisfactory educational progress for each course the student is enrolled, that at a minimum included a grade book or other summary document, that for each course listed all assignments, examinations, and associated grade bookstime value of the student’s educational progress based on documented academic evaluations (measurements), or that I have personally reviewed the academic evaluations (measurements) made by other certificated teachers, and determined the scores, grades, and student’s educational progress.

Days of Apportionment Attendance for Assignment Period

Actual Days of Assignment Period
Total Number of Days Credited
Total Number of Days Not Credited

Supervising Teacher Signature: ______Date Evaluated:______