Form

Clements 2020-2021 Course Verification (Pat-Tat)

Counselor: Mr. Ted Liu (Pat-Tat)
Include all requested changes on this form.

1. 9-11 grade, you must have 7.0 credits of classes.

2. 12th grade may have 5.0 but must include any off-campus or office aide periods.
Name

First NameLast Name
Email
example@example.com
ID#
Course # and Name to Drop (EL122 English 2)
Course # and Name to Add (FC212 Choir 1)
Phone Number
Course # and Name for Requested Alternates (if any)
Any additional comments or questions regarding course selection?
Student Signature*
Parent Signature*
Should be Empty:

Clements 2020-2021 Course Verification (Pat-Tat)