Credit Recovery Program Application Form

Name Current Grade Level Address Phone Credit Total

Course Info Subject needed: Subject needed: Subject needed: Subject needed: Sem: Sem: Sem: Sem: 1 1 1 1 2 2 2 2 Credit: Credit: Credit: Credit: 1/2 1/2 1/2 1/2 1 1 1 1

ID # DOB Zip Email Students Cell

As a parent/guardian, I will support my child. I understand the importance of my childs completion of this program. As a student, I will follow all the program rules and regulations of the Credit Recovery program and those listed in the Princeton High School Agenda. As a student athlete, I understand that some online courses are not NCAA approved core courses and the Athletic Director must approve my application to ensure OHSAA and NCAA eligibility.* Students needing additional time to complete online course work may also attend the Princeton Evening Credit Recovery Program on Monday, Tuesday and Thursday, 2:30 6:30 on days when day school is in session. Princeton Evening Credit Recovery Program admission is conditional. The fee for the program is $50 for each 18week (semester) period. Payment may be in the form of cash, check or money order made out to Princeton High School. Finally, if rules are broken, the student will be withdrawn from the Evening School Credit Recovery program with no refund. Because the courses are self-paced, students may complete a course prior to the end of the semester. These students may begin another course. Student Signature Parent/Guardian Signature Counselor Signature *Athletic Director Signature _________________________________ _________________________________ _________________________________ _________________________________ Date Date Date Date ____________ ____________ ____________ ____________ 1
Form updated 8/2011