(866) 746-6534 Fax: (615) 612-6126 www.lcaed.com lcaed@aceministries.com P.O. Box 508 Hendersonville, TN 37077-0508 Division of Accelerated Christian Education Ministries APPLICATION FOR ELECTIVE CREDIT Elective credit will only be given after evaluation of the following components. COURSE TITLE _____________________________________________________________________________________ MATERIAL COVERED ______________________________________________________________________________ _______________________________________________________________________________________________________ _______________________________________________________________________________________________________ PROJECTS COMPLETED Please consult with your advisor to see what documentation will be needed before credit may be given. 1. ________________________________________DATE___________________GRADE________________ 2. ________________________________________DATE___________________GRADE________________ 3. ________________________________________DATE___________________GRADE________________ 4. ________________________________________DATE___________________GRADE________________ SUBMIT ANY ADDITIONAL PROJECTS AND TESTS SEPARATELY. INSTRUCTIONAL PERIOD Class instruction must consist of a minimum of 2 hours per week for 36 weeks to receive 1/2 credit, and 4 hours per week for 36 weeks to receive one full credit. COURSE START DATE ___________________________________________________ COURSE COMPLETION DATE ___________________________________________ INSTRUCTIONAL TIME PER WEEK ______________________________________ INSTRUCTOR EVALUATION The instructor is to attach a separate report providing the following information. 1. Did the student show mastery of the course material? 2. Is the student able to apply learned concepts? 3. Was the student tested in any way on the material? 4. Was this study productive for the student? __________________________________________ ______________________ _____________________ Signature of parent or instructor Account # Date RETURN THIS FORM AND OTHER PERTINENT DOCUMENTS AS REQUESTED TO LIGHTHOUSE CHRISTIAN ACADEMY. 1-1590703820