DATE: ____/______/_____________
SUMMER SCHEDULE CHANGE REQUEST FORM 2015-16
Please fully complete this form so that we can begin processing your request.
____________________________, _________________________ ___________________
LAST NAME
FIRST NAME
2015/2016 Grade Level:____________
STUDENT #
DIRECTIONS:
1. Each student is limited to only ONE REQUEST FORM for a “Summer Schedule Change.” By viewing the master
schedule online, please make sure that the course(s) you are requesting are offered and are available. Course
numbers are required to complete this submission.
2. USE THIS FORM ONLY FOR SCHEDULE CHANGES (requests made by email or phone will not be accepted).
3. Due to the high volume of schedule change requests and limited summer work hours, counselors are not
available for personal meetings regarding schedule changes in August.
4. No summer schedule change requests will be accepted after the postmark date of August 12th for any reason.
WHY are you requesting a schedule change? (This information will help us to prioritize your scheduling needs).
*Please check here ____ if you have received all of your courses and only need to balance your
class load between Days A & B. (for example, making sure you have no more than one study hall/day)
Please be aware that the PIAA regulations require students to take at least 4 academic credits each semester if you are an athlete. Due to
the constraints of the master schedule, it will not be possible to make schedule changes to accommodate extracurricular activities.
PARENT SIGNATURE: ______________________________________________________ (must be signed to process changes)
Contact Information:
1. Email addresses: __________________________________________________
_______________________________________________________
2.
Phone #’s C: _________________________________
H:__________________________________
Please list the course(s) you would like to DROP: Please list the course(s) you would like to ADD:
Course #
Course Name
Course #
Course Name
*Please be aware that other classes/instructors may change in order to fulfill your requests.
All schedules are subject to change at any time due to staffing needs, program changes, etc.
Please check your SCASD email!