Mansfield State High School

Application to Study 5 Subjects

Student Name:
SDP class: Date:
Step 1 - Tick the reason for application and attach supporting documentation.
q SAT (timetable will not be updated until placement confirmed)
q TAFE (timetable will not be updated until enrolment confirmed)
q University subject (timetable will not be updated until enrolment confirmed)
q External Exam (attach copy of application form once payment has been made)
q Sporting commitments* (attach schedule and/or letter from trainer on Letterhead of
sporting organisation, letter from parent)
q Medical (attach letter/report from medical practitioner)
q Other Provide details
q * Will require executive principal authorisation.
NB: Students undertaking a SAT/TAFE/Uni are permitted the reduction of 1 study line only. Once
TAFE/Uni is completed or discontinued, students must select a sixth subject at school.

Subject to drop:
Step 2 – Parent approval

I, Parent/Caregiver____________________________________________ give permission for the

student named above to study only 5 subjects at school. I understand the potential implications of
this change on QCE /ATAR eligibility, and agree to student responsibilities overleaf.

Parent/Caregiver signature:
Date:
Step 3 – Complete and attach Subject Change form

q Complete Subject Change form and make appointment with guidance officer
q Attach completed Subject Change form

Step 4 – School approval

Approved:  Yes  No
Comments:_______________________________________________________________________
________________________________________________________________________________

Deputy Principal Name:

Deputy Principal signature:
Date:

Our Vision: “Quality learning in a caring environment”

 Mansfield State High School
Independent Study Periods (STP) Agreement

AGREEMENT

I have read and understood the following school requirements and agree to abide by them. I also
understand that if I don’t make good use of the study periods or I misbehave, my study period
privileges may be revoked.

 Study Periods are a privilege, not a right. Students, who fail to fulfil their STP responsibilities or
are found NOT to be in their allocated room, will have this privilege revoked.
 Independent Study Periods are to be used specifically for completing missed class work,
assessments, certificate and/or University work. You must take sufficient work to keep you
fully occupied for the entire lesson.
 You will NOT be allowed to leave your allocated study room to go to the library or any other
room to study.
 You are not to distract the other students in the class.
 Your attendance will be recorded by the class teacher each lesson.
 Students in E-Block must report to Ms West or your Case Manager to have your attendance
recorded:
 Students who have permission to arrive at school late or leave early due to attendance at TAFE
etc. must swipe in and out at the lower office attendance window as they arrive or leave.
 If your allocated class is not in their timetabled room, you are to report immediately to the
Deputy Principal Support Officer (Ms Morton).

Student Name:
Student Signature:
Date:

Our Vision: “Quality learning in a caring environment”