You can always press Enter⏎ to continue
Welcome
Please fill out this form if you are interested in graduating at the end of your first semester of senior year.
25
Questions
START
Language
English (US)
Spanish (Latin America)
1
Student First Name
*
This field is required.
Previous
Next
Submit
Press
Enter
2
Student Last Name
*
This field is required.
Previous
Next
Submit
Press
Enter
3
Student ID
*
This field is required.
Previous
Next
Submit
Press
Enter
4
Student Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
5
Please select your counselor:
*
This field is required.
Mrs. Strayhorn Last Names A-D
Mr. Hutchinson Last Names E-K
Mr. Blackwell Last Names L-Q
Ms. Holmes Last Names R-Z
Mrs. Strayhorn Last Names A-D
Mr. Hutchinson Last Names E-K
Mr. Blackwell Last Names L-Q
Ms. Holmes Last Names R-Z
Previous
Next
Submit
Press
Enter
6
Please explain your reason for requesting Midyear graduation.
*
This field is required.
Previous
Next
Submit
Press
Enter
7
What are your plans after you graduate?
*
This field is required.
Previous
Next
Submit
Press
Enter
8
I understand for this request to be considered, we (student and parent) must have a conference with my school counselor to discuss the request and post-secondary options, and I agree to meet with my student’s school counselor,.
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
9
I have carefully reviewed my student’s record and believe this action to be in his or her best interest; I am fully aware that my student will no longer be enrolled in school and of the conditions which apply to all students who graduate early.
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
10
I understand that my student will not be allowed to participate in any extracurricular activities, including the prom, athletics, school dances, plays, etc. after graduating except as a guest.
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
11
I understand my student will not be allowed to be on campus after graduating except as a visitor and under the conditions which apply to all visitors.
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
12
I understand my student will not have access to any of the benefits accorded students who are enrolled, including bus transportation, participation in the free/reduced price meal program, and special education and related services after graduation.
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
13
I understand that there will not be a graduation ceremony in December but my student may participate in the May graduation ceremony. Mid-year graduates are required to participate in Senior Awards Night if they will be participating in the graduation ceremony.
YES
NO
Previous
Next
Submit
Press
Enter
14
I understand that it is the student/parent’s responsibility to contact any college/university’s admissions office to determine that this request will not affect the student’s admission.
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
15
I understand that if this request is approved, my student will be scheduled for all remaining graduation requirements in the 1st semester of the school year.
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
16
I understand that if this request is approved that this is considered a final decision and any requests to reverse this decision will require the approval of the principal.
*
This field is required.
YES
NO
Previous
Next
Submit
Press
Enter
17
Please enter the 4 courses requested/needed for 1st semester:
*
This field is required.
Huge
Large
Normal
Small
Ok
quote
Created with Sketch.
Ok
Previous
Next
Submit
Press
Enter
18
Please enter 4 alternate course selections:
*
This field is required.
Previous
Next
Submit
Press
Enter
19
Please select one of the following:
*
This field is required.
I have contacted the college/university I plan to attend and determined that midyear graduation will not affect my child’s admission in either the Spring of 2024 or Fall of 2024.
My child does not plan to attend a college/university.
Previous
Next
Submit
Press
Enter
20
Student Signature
*
This field is required.
By signing this form, you understand and agree to all the policies of midyear graduation
Clear
Previous
Next
Submit
Press
Enter
21
Parent Name
*
This field is required.
First Name
Last Name
Previous
Next
Submit
Press
Enter
22
Best Contact Number
*
This field is required.
Please enter a valid phone number.
Previous
Next
Submit
Press
Enter
23
Parent Email
*
This field is required.
example@example.com
Previous
Next
Submit
Press
Enter
24
Parent Signature
*
This field is required.
By signing this form, you agree to your student being a midyear graduation candidate and understand and agree to all the policies of midyear graduation
Clear
Previous
Next
Submit
Press
Enter
25
Date
*
This field is required.
/
Date
Month
Day
Year
Previous
Next
Submit
Press
Enter
Should be Empty:
Question Label
1
of
25
See All
Go Back
Submit