CENTRAL HIGH HOME PACKET APPLICATION 2014-2015
Receipt # _________
STUDENT NAME ___________________ HOME PHONE_____________________
ADDRESS__________________________________________________________
P.O. BOX
STREET
CITY
STATE
ZIP
AGE____GRADE____STUDENT WK PHO_____________CELL PHONE__________
PARENT NAME____________________WORK PHONE _____________
EMAIL ADDRESS____________________________________________________
HOME HIGH SCHOOL_______________________________________
CLASS REQUESTED (SPECIFIC NAME)___________________________________
DATE BEGAN_______________DATE MUST BE COMPLETED_________________
TEXTBOOK NAME___________________________________________________
______________________________________________TEXTBOOK #_________
TEACHER NAME____________________________________PHONE # 359-2337
COUNSELOR SIGNATURE____________________________________
FEE PAID_________________________________
HOME PACKET
Guidelines, Rules, and Expectations
1. Home Packet cost $50.00/w refund of $15.00 Madison District Student, $75.00/w refund of $25.00 Out of District
Students.
2. You have six weeks to complete this packet. You may extend up to one week without paying extra, but your grade
will be cut one full letter grade. If your packet is due on a Tuesday and you come in the next day, that will count as
being one week late. That means that if your packet is up to a week late and you get a grade of a B+, your grade will be
dropped to a C+. If you get a D grade and are up to a week late, your grade will be dropped to an F. You may extend
for two weeks (from your original due date) by coming into the office BEFORE THE ORIGINAL DUE DATE and paying a
$35.00 extension fee. There will be no extensions given after the original due date, and no extensions beyond the two
week period. Your $15.00 or $25.00 deposit will still be given upon return of intact packet and books, even if beyond the
given due dates.
3. Most of the quizzes and tests with your packet are to be taken at home. There is a final test with each packet that
must be taken at school. School hours for tests and turning in packet work are 7:30 to 3:30, Monday through Thursday,
7:30 to 3:00 Friday. (That means that you have to be finished with the test by 3:30 or 3:00 on Friday not just come in
to start it at that time.) Appointments for the test should be scheduled at least a day prior.
4. Students are encouraged to pick up a home packet. If parents pick up the packet student must contact the teacher
within the first week. Phone 359-2337. You will need to fill out the necessary paper work and forms while you are here.
A counselor signature may be required, the counselors should have the forms in their office.
5. You are expected to do your own work. You may ask for help, but should not enlist others (including the Internet) to
complete all or part of assignments for you. Cheating or copying may result in failure of your class.
6. The last day that you can get a home packet for the 2013-2014 school year will be on April 17th, 2015. The last
day that you can turn in work for a home packet grade will be on May 15th, 2015. Please note that you will have
less than six weeks (and maybe only four weeks) to complete any packet picked up after April 17th.
There will be NO EXCEPTIONS to these two cut-off dates.
7. Each teacher will include a list of rules and guidelines for each individual home packet. You are responsible for
knowing and following these rules.
8. This is the provisions for IEP, 504, Special Ed.
9. ONLY ONE HOME PACKET MAY BE TAKEN AT A TIME
I hereby understand and agree to these rules
STUDENT SIGNATURE______________________________________________