Orange City School District Credit Flexibility APPLICATION

Orange City School District Credit Flexibility APPLICATION

ORANGE HIGH SCHOOL CREDIT FLEXIBILITY APPLICATION [Completed proposals are to be returned to your Guidance Counselor] STUDENT NAME: Grade: PARENT/GUARDIAN NAME: Date: COUNSELOR: CREDIT FLEX OPTIONS (Please check the appropriate box): Option 1: Course Mastery of OHS Course. Complete A, B, C, D, E, G - Student must develop a plan based on course standards and plan must be approved by OHS - Student must meet with the activity supervisor on a regular basis (established in plan) - Student must successfully complete agreed upon assessment (established in plan) Option 2: Course Mastery of Any Course Not Offered at OHS. Complete - Requirements based on Credit Flex Proposal A, B, C, D, E, G Option 3: Course Mastery via Outside Tutoring. Complete A, B, C, D, E, G - 40 contact hours and 80 homework hours are needed for 1- credit - 20 contact hours and 40 homework hours are needed for ½ credit - Attach course syllabus to proposal - A log of all contact time is required (Identify as Learning Outcome 1 on page 3) - Successful completion of a midterm and final exam are required. - Successful completion of homework (Identify as Learning Outcome 2 on page 3) Option 4: Online Courses. Complete A, B, E, F, G - Student will complete online course (see approved list) and must provide an official transcript with grade earned - Course syllabus must be attached to the Credit Flex Proposal - The online course curriculum must completely align with the requisite OHS course as determined by Orange High School administration (Graduation Requirements only) Option 5: Credit Recovery. Complete A, B, E, G and F (when applicable) - Brush High School Summer School Program - Brigham Young University Independent Study - Plato - Keystone Credit Recovery - other vendor agreed upon in writing with counselor s signature - ALL OPTIONS ARE SELF PAY

ORANGE HIGH SCHOOL CREDIT FLEXIBILITY APPLICATION A. What type of credit are you proposing to earn? Graduation Requirement or Elective Credit Credits Attempt NEW CREDIT ¼ ½ 1 RECOVERY CREDIT ½ 1 Proposed Course: Proposed Subject Area: (Example: English, Technology, Physical Education) B. Proposal Description (Describe, in general terms, what you are planning to do; attach course syllabus if appropriate) C. Timeline: Faculty Advisor Activity Supervisor Project Start Date: Project End Date: [Print Name] [Signature] [Print Name] [Signature]

D. Learning Outcomes (1 or more Learning Outcomes are required): Outcome1 Outcome 2 Outcome 3 Outcome 4 Outcome 5

E. Parent Student ORANGE HIGH SCHOOL CREDIT FLEXIBILITY: Student/Parent Contract Please initial in the appropriate space The student will hold primary responsibility for the overall success or failure of the course. I understand that these courses may not fulfill NCAA Clearinghouse requirements. It is my responsibility to verify each course with NCAA Clearinghouse (http://www.ncaa.org) The student will be expected to meet with teacher at least time(s) per week, beginning. I understand this course will appear on my official high school transcript with a letter grade and factor into the GPA. The student s teacher and/or other school authorities have the right to cancel this course/credit option if: (1) the student violates any rule/policy stated in the OHS Student Handbook; (2) the student does not regularly and actively engage with the teacher as stated above or; (3) the student does not make steady progress toward completion of the course. The Principal, or designee, reserves the right to remove the student from the course (withdrawn with penalty) for issues involving plagiarism and copyright violation at the expense of the family. Grades for credits earned will be issued for courses of similar weight at OHS The decision regarding a withdrawal from the course may be appealed to the Principal. A letter outlining the reason(s) for the appeal must be received by the Principal within 10 calendar days following notification of withdrawal. The Principal s decision on the appeal is final.

F. online classes Parent Student I understand it is illegal to allow others to complete coursework under my account. I understand that failure to abide by the rules set forth by the vendor can result in removal from the program. I understand that online classes MUST close one week prior to OHS semester closing dates so that my grades can be finalized and posted to my transcript. SENIORS all grades must be finalized prior to senior project. I understand it is my responsibility to provide internet access. I understand that Orange Schools will need to share appropriate educational documentation (such as IEP, 504 Plan, accommodations) with the provider via email, mail or fax. I understand that I/family has agreed to pay all fees associated with the online course including course materials. G. SIGNATURES I understand the Credit Flexibility Option is an intensive process designed to allow me to work at my own pace to complete the assigned work. I also acknowledge that I have read and understand the rules, policies and procedures outlined in the Credit Flexibility Handbook and all the information above. [Student signature] [Date] I understand that my child has applied for a credit flexibility course credit option and I support the decision. My child and I are aware of the rules, processes and procedures set forth by the Orange Schools. I also acknowledge that I have read and understand the rules, policies and procedures outlined in the Credit Flexibility Handbook and all the information above. [Parent signature] [Date]

FOR OFFICE USE The Credit Flexibility Proposal and Application for has been Accepted; you may proceed with your work as outlined in your proposal/application Denied for the reason(s) identified below Incomplete application Incomplete proposal Learning outcome(s) not identified or inappropriate for OHS credit Other: If you wish to resubmit a new application and/or proposal, please note the following recommendation(s): Dr. Paul M. Lucas, Principal Date If you wish to appeal the decision stated above, please do so by contacting the high school principal in writing no later than 5 calendar days after notification of denial. The written appeal must include: a.) statement of appeal to the denial decision b.) rationale and justification for appeal THIS FORM TO BE GIVEN BACK TO STUDENT BY GUIDANCE DEPARTMENT AFTER PRINCIPAL S DECISION. ---------------------------------------------------------------------------------------------------- RECEIVED BY GUIDANCE COUNSELOR Counselor Signature Date