PARK HILL SCHOOL DISTRICT **ONLINE COURSE ENROLLMENT FORM: GRADES 10 – 12 ONLY**(3.31.15) Due May 15, 2015 10 11 12 (Student Name) (PHSD email) (Grade Level- Fall of 2015) (School ID#) (Street) (City) (State) (Zip) (Cell Phone) (Home Phone) (Counselor’s Name) (School) Please check the following boxes if applicable: I receive special education services and have an IEP. I receive ELL services. I receive modifications or accommodations under a 504 plan. I participate in the Gifted program. Virtual Academy Classes Dates/Times Location June 1 – June 19 8:45 – 1:15 PM June 22 – July 10 (no class July 3) 8:45 – 1:15 PM Park Hill & Park Hill South (Students will attend their home schools) Summer School Online Course Description Students have an opportunity to earn ½ credit or 1 credit after successfully completing 120 hours of course instruction and learning activities. Students will attend their respective home schools (Park Hill or Park Hill South) for orientation, blended instruction and end of course exams. Online-blended courses are taught by certified teachers and meet the same national, state and district standards as other Park Hill course offerings. During the course, teachers communicate with students using Park Hill student email, phone, and collaborative tools within the course management system. During the summer school session, students must meet face-toface with their instructor four times. Students will attend an onsite orientation (June 1st), two face-to-face onsite sessions with their instructor (dates provided by teacher), and the onsite final/end of course exam (dates provided by teacher). Students who are unable to attend the on-site orientation on June 1st, the two mandatory onsite blended sessions, and the required on-site End of Course/final exams should not enroll in the online-blended courses offered during the 2015 Summer School Session. No exceptions to this requirement will be allowed. Online-Blended Courses Requirements Students participating in an online course must: Have access to a computer with Internet connection (onsite computer option available) Attend an onsite course orientation on June 1st at 7:30 AM Log into the course management system daily and actively participate in course instruction Check district email daily Attend two out of the five face-to-face onsite sessions (dates/times provided during orientation) Attend onsite Final/End of Course Exam Virtual Advancement Courses Students need to place a number by each course using “1” as first choice, “2” as second choice, “3” as third choice. CHOICE (1, 2, 3) COURSE TITLE TECHNOLOGY ACCESS – Select One R=Remote Access: Use of Home computer O=Onsite Access: Use of computer on campus Completion of these courses = 1 CREDIT ACT Prep R O American History R O Psychology R O Personal Finance and Computer Applications R O Animation/Game Design (Prerequisite-Computer Science) R O Creative Writing R O Enriched ELA III R O Government R O Marketing Concepts R O English Language Art Elective English Language Art Social Studies Required Course Practical Art Marketing Internship (Instructor approval) R O Practical Art Health & Personal Wellness R O ½ Health & ½ Practical Art General Elective Social Studies Required Course Social Studies ½ Personal Finance & ½ Practical Art Practical Art The following courses are offered as ½ credit courses. CHOICE (1, 2) COURSE TITLE Session #1 6/1 – 6/19 8:45–1:15 PM Session #2 June 22 – July 10 (no class July 4) 8:45–1:15 PM Completion of these courses = ½ CREDIT Health (State of MO requirement for diploma) R O R O ½ Health Personal Wellness (requirement for diploma through class of 2017) R O R O ½ Practical Art ________________________________________________________________ Student Signature ___________________________________________________ Date ________________________________________________________________ Parent Signature ___________________________________________________ Date ________________________________________________________________ Counselor Signature ___________________________________________________ Date *Transportation will be provided for summer school. Please indicate if your student will be utilizing the transportation and please provide the current bus number. □ Yes, transportation will be utilized. Current bus number is ______________. □ No transportation needed.