Credit Recovery
Academic Year 2024-25
Student Name
*
First Name
Last Name
Parent / Guardian Name
*
First Name
Last Name
Name of School
*
Homeschool students can enter Copperstone.
Grade of Student
*
Student Phone Number
*
Parent Phone Number
*
Student Email
*
example@example.com
Parent Email
*
example@example.com
Select the Course(s) you would like to take:
*
Algebra 1 A/B
Algebra 2 A/B
Geometry A/B
Mathematics 1 A/B
Mathematics 2 A/B
Mathematics 3 A/B
Precalculus A/B
Calculus A/B
English 09 A/B
English 10 A/B
English 11 A/B
English 12 A/B
Biology A/B
Biology with Virtual Labs A/B
Environmental Science A/B
Physical Science A/B
Physics A/B
Economics
High School World History A/B
U.S. Government
U.S. History A/B
Do you requirer one full academic credit or half a credit?
*
Please Select
Full Credit (36 Weeks)
Half Credit (18 Weeks)
Has the student taken the selected course previously?
*
Please Select
Yes
No
Reason for taking the selected courses
Failed to earn credit previously. Required for graduation.
Improve on previous mark for university admissions
Course is required for a my university major
Changed curriculum. Course was not required at previous school
Other
What are your plans for after high school graduation?
Skills, Talents, and Hobbies
Does the student have any disabilities, illness, medical conditions, etc. that can affect his/her virtual classes/study?
*
If you have any awards, recognition, certificates, please share them here:
I am an adult (18 years above)
I am a minor (17 years below)
School Details
School Counselor or Representative
*
First Name
Last Name
Designation
Email
example@example.com
Phone Number
Any additional comments or information you would like to share?
Student Signature
Parent/Guardian Signature
Print Form
Enroll Now
Enroll Now
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