Request Form: Course Eligibility for Accelerated Placement

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LCPS Form IKC-E1
Grade Point Average and Weighted Grade Point Average
PART A: Request Form - Course Eligibility for Accelerated Placement
LCPS Regulation IKC-RA defines an Accelerated Placement course as a college level course which is at the
next academic level or equivalent to an advanced placement course.
Date of Request:
Course Date:
Student Name:
LCPS ID#
Student Home Address:
High School:
Post-Secondary Institution:
Course Number and Title:
Student please check eligibility criteria:
Course is included in post-secondary’s
listing of AP equivalent courses.
(Available from your college.)
For Official Use Only:


Yes, see attached list. (List from NMSU not
required.)

No, see attached course syllabus.
For Official Use Only:

Course Approved
_____ Included in University Listing
Course does not meet criteria for
Accelerated Placement
Explanation:
_____ Syllabi Review
Signature, Director of Secondary Instruction
Date
Signature, Director of Secondary Instruction
Date
PART B: Petition for Weighted Credit (To be completed by Student)
LCPS Policy IKC permits students to petition the Director of Secondary Instruction for weighted credit for
approved collegiate level courses referred to as Accelerated Placement courses.
Student Statement:
I,
petition the Director of Secondary Instruction for the consideration
of weighted credit for the approved accelerated course above. Upon successful completion of the course, I will
submit the official grade report to my high school principal/designee for transfer to my official transcript.
Student Signature
Parent/Guardian Signature
For Official Use Only:

For Official Use Only:
Course Approved for Weighted Credit

Course does not meet criteria for
weighted credit
_____ Student has exhausted high school offerings.
Explanation:
_____ Student has documented schedule conflict.
Signature, Director of Secondary Instruction
Date
Copy: Student, High School Principal or Designee
Signature, Director of Secondary Instruction
Date
Form IKC-E1 021610
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