ECTA - Open Period Application

EAST CAREER & TECHNICAL ACADEMY

OPEN PERIOD APPLICATION
Student Information
First Name*
Last Name*
Student#*
Program*
Counselor*
Open Period Information
- Only Seniors (12th grade) are eligible for an open period.
- Students are eligible for an open period if they meet the conditions in one or more of the areas identified by the district. Counselors will verify each student's eligibility for open periods and determine how many and which days a student will have open period(s).
Acknowledgements: Both students and parents should read and initial to show agreement.
Student Initials* / Parent Initials* I understand that by requesting an open period I am promising the school that I will monitor my grades and attendance and stay on track for graduation.
Student Initials* /Parent Initials* I understand that having an open period is a privilege and can be taken away due to poor attendance, credit deficiency, academic concerns and/or behavior.
Student Initials* / Parent Initials* I understand that if I leave campus during my open period and I must provide my own transportation to and/or from school.
Student Initials* / Parent Initials* I understand that if I remain on campus during my open period, I must remain in the Tech Center for the entire period.
I understand that I am only requesting an open period or periods at this time and that I may not meet the qualifications to have an open during my senior year. I understand that if I do not qualify for an open, I will be placed into an elective course.
Student Signature

Clear
Date

MonthDayYear
Date
I give permission for my son/daughter to request an open period for their senior year. I understand that my son/daughter must be able to get themselves to and/or from campus everyday. I understand that if my student does not qualify for an open period that he/she will be placed into an elective class.
Parent Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

EAST CAREER & TECHNICAL ACADEMY

Student Information