SCHEDULE CHANGE REQUEST FORM 5 pases RETURN SIGNED, COMPLETED FORM TO HIGH SCHOOL OFFICE ‘STUDENT NAME GRADE ‘SEMESTER DATE Directions: Complete the schedule change and rationale on the lines below, then complete the section titled “Drop/Add.” Once parent signature has been acquired, return request form to the school office. ‘Schedule change and rationale: Approved 0 Dectined Parent Signature (Required) Date NOTE: Schedule changes are NOT standard practice. Requests wil be considered due to extenuating circumstances, such as class size, medica issues, credits needed, and scheduling errors, el “REQUESTS MUST BE TURNED IN NO LATER THAN THE FOURTH DAY AFTER THE TRIMESTER STARTS, * DROP /ADD SECTION: Be Filled Out By Office: [ApprDie | [Drop Class. Period | [oes Sie Tester it 1 3 4 5 6 7 [Appibis | |Add Class Period | | Sie Teacher nt 4 2 3 4 5 6 7 OFFICE USE ONLY sit Signature: ate ‘Comments: