FREMONT UNIFIED SCHOOL DISTRICT
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FREMONT UNIFIED SCHOOL DISTRICT 2015 HIGH SCHOOL SUMMER SCHOOL STUDENT REGISTRATION FORM Location, calendar, bell schedule and other information is provided on a separate sheet. Please save that sheet for your records. Students can take courses to improve D or F grades only; course advancement is not permitted. Please see other side for course schedule and course selection. RETURN TO COUNSELOR BY FRIDAY, MAY 1, 2015 PLEASE PRINT CLEARLY Current School:_______________________________________ Student Name: ___________________________________________ Student ID #: _____________ Present Grade:________ Last First M.I. Birthdate: ____________________ Sex: M F Home Phone: ________________________________ Address:_______________________________________________________________________________________________ No. Street City State Zip Parent/Guardian: ____________________________________________ Work/Cell Phone ( )_________________________ Parent/Guardian: ____________________________________________ Work/Cell Phone ( )_________________________ Additional Emergency Contact: ________________________________ Work/Cell Phone ( )_________________________ Please list any health problems: i.e.; diabetes, asthma, bee stings, etc.: __________________________________________ If your child is on medication: (Please give specific directions.): __________________________________________________ ______________________________________________________________________________________________________ (Does your child receive specialized physical health care services at school: (What are the current physician orders?) IF THE STUDENT REQUIRES ADMINISTRATION OF MEDICATION WHILE ATTENDING SUMMER SCHOOL, A MEDICATIONS AT SCHOOL FORM MUST BE ATTACHED. IF ONE IS CURRENTLY ON FILE AT SCHOOL PLEASE ATTACH A COPY. ANY NEW MEDICATIONS REQUIRE A NEW FORM. PLEASE REFER TO THE OTHER SIDE OF THIS FORM FOR COURSE SELECTION. All classes meet for 2 hours and 30 minutes: Period 1: 8:00 AM –10:30 AM Period 2: 10:50 AM – 1:20 PM I hereby authorize medical services for my son/daughter and understand I will be responsible for fees. Also, I acknowledge that health information may be shared with FUSD staff as needed. Parent/Guardian must notify school within five (5) school days of any new address or telephone number. If you do not notify the school, this is falsification of information (BP5111) and will result in immediate disenrollment. THIS FORM MUST BE SIGNED BY BOTH STUDENT AND PARENT BEFORE IT IS SUBMITTED TO THE COUNSELOR BY FRIDAY, MAY 1, 2015 on a first-come, first serve basis. Student Signature: _______________________________________________________ Date: _________________________ Parent Signature: ________________________________________________________ Date: _________________________ District Use Only Counselor must complete: A COPY OF THE STUDENT’S FALL SEMESTER TRANSCRIPT MUST BE ATTACHED. Please check those that apply: 504 Plan: Yes _______ (Please attach copy.) Health Plan: Yes _______ (Please attach copy.) RSP: Yes ________ (Please attach copy of IEP accommodations, only, not full IEP.) Counselor Comments: Is this the correct class?________________________________________________________________ ______________________________________________________________________________________________________ ________________________________________________________________ Counselor Signature Date FREMONT UNIFIED SCHOOL DISTRICT 2015 HIGH SCHOOL SUMMER SCHOOL STUDENT REGISTRATION FORM ID#:_____________________________ Depending on the availability, students may select up to two summer school classes and one alternate should the one or two classes chosen become unavailable or full. Students should talk with their counselor or administrator for course recommendations and help with registering. Registration is on a first-come, first serve basis. Course selection(s): In the line provided, indicate the choices by writing the following by the side of the selected class: 1. “1” = First choice for class 2. “2” = Second choice for class if a second class is available 3. “A” = Alternate if the first or optional second class is not available. CODE TITLE CODE TITLE ___ EZCPF English 9 – Semester 1 ___ MGFGF Discovering Geometry – Sem. 1 ___ EZCPS English 9 – Semester 2 ___ MGFGS Discovering Geometry – Sem. 2 ___ EZFPF English 10 – Semester 1 ___ MGFPF Geometry - Semester 1 ___ EZFPS English 10 – Semester 2 ___ MGFPS Geometry - Semester 2 ___ EZIPF English 11 – Semester 1 ___ MAIPF Algebra 2/Trigonometry Semester 1 ___ EZIPS English 11 – Semester 2 ___ MAIPS Algebra 2/Trigonometry Semester 2 ___ GSCPF Spanish 1 – Semester 1 ___ PZFGF Physical Education – Semester 1 ___ GSCPS Spanish 1 – Semester 2 ___ PZFGS Physical Education – Semester 2 ___ GSFPF Spanish 2 – Semester 1 ___ QICPF Integrated Science 1 – Semester 1 ___ GSFPS Spanish 2 – Semester 2 ___ QICPS Integrated Science 1 – Semester 2 ___ HZAG - Health ___ QBFPF Biology – Semester 1 ___ M2CG CC Math 3 – Semester 1 ___ QBFPS Biology - Semester 2 ___ M2CG CC Math 3 – Semester 2 ___ QCIPF Chemistry – Semester 1 ___ MCCPF Algebra 1 – Semester 1 ___ QCIPS Chemistry – Semester 2 ___ MCCPS Algebra 1 – Semester 2 ___ SWFPF World History - Semester 1 ___ MIIPF Int. Algebra – Semester 1 ___ SWFPS World History – Semester 2 ___ MIIPS Int. Algebra – Semester 2 ___ SHIPF U.S. History - Semester 1 ___ SHIPS U.S. History - Semester 2 ELECTIVE COURSES CODE TITLE CREDITS ___ YDFG Driver Education 2.5 ___ FJFP Film in the 20th Century 5 ___ COAG Computer Operations 5 ___ EECG English Language Development - Level 1 5 ___ EEFG English Language Development - Level 2 5 ___ EZBRF Read to Achieve – ELD Level 3 5 All classes meet for 2 hours and 30 minutes. Period 1: 8:00 AM –10:30 AM Period 2: 10:50 AM – 1:20 PM NOTE TO PARENTS & STUDENTS: STUDENTS CAN BE IN DANGER OF NOT GRADUATING IF THEY DO NOT SIGN UP FOR COURSEWORK THAT IS RECOMMENDED BY THEIR COUNSELOR. STUDENTS WITH "D" GRADES WHO DO NOT ATTEND SUMMER SCHOOL WILL NOT MOVE UP TO THE NEXT LEVEL COURSE (I.E. MATH, SCIENCE, & LANGUAGE CLASSES REQUIRE A "C" OR ABOVE FOR PLACEMENT AT THE HIGHER LEVEL). STUDENTS WITH "F" GRADES LOSE CREDITS TOWARDS THEIR HIGH SCHOOL DIPLOMA AND ARE AT-RISK OF NOT GRAUDATING WITH THEIR CLASS ON TIME. IT IS THE STUDENT’S RESPONSIBLILTY TO TURN THEIR FORM IN.
