SCHEDULE CHANGE REQUEST FORM

NAME___________________________ HOME PHONE NUMBER___________________________

DATE OF REQUEST________________ COUNSELOR'S NAME_____________________________

SHEDULE CHANGES WILL ONLY BE CONSIDERED IF ONE OF THE FOLLOWING APPLIES:

• YOU ARE ENROLLED IN A COURSE WITH A TEACHER, WITH WHOM YOU PREVIOUSLY
  FAILED.
• YOU HAVE NOT EARNED THE APPROPRIATE PREREQUISITE FOR THE COURSE
• YOU HAVE NOT BEEN ENROLLED IN THE APPROPRIATE LEVEL OF COURSE
• YOU HAVE A STUDY HALL

PLEASE DESCRIBE IN DETAIL BELOW THE PROBLEM WITH YOUR SCHEDULE. YOU MUST REMAIN IN YOUR SCHEDULED COURSES UNTIL WE CONTACT YOU. WRITTEN PARENTAL/GUARDIAN PERMISSION IS REQUIRED FOR ANY SCHEDULE CHANGE. THANK YOU.

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