Curriculum Adjustment Request Form

Curriculum Adjustment Request Form
Family Information
Date of Request*

MonthDayYear
Date
Family ID*
Head of Household Name*

FirstLast
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Check if new
Phone Number

Area CodePhone Number
Email Address*
Student Information
Student ID*
Student's Name*

First NameLast Name
Grade Level of Report Card*
This may not be the same as the student’s current grade level.
Parent "Signature"

By entering my name here, I agree that the information provided is accurate and that I am authorized to make these changes to my student's curriculum.
Parent's Name*
General Comments
Choose Each Option That Applies

Course changes or additions must be requested within six (6) months after the date the curriculum was shipped. More time may be granted to those whose books were shipped between April 8th and September 1st. Course deletions may be requested at any time prior to course completion. CLASS reserves the right to deny a request if it falls beyond the allowable time limit or if CLASS considers the requested action to be inadvisable for any other reason (you will be notified if such an event occurs).

Course numbers and titles can be found on your student’s Master Assignment Sheet (packing list).

Desire other materials
I received the following courses as listed on my packing list, but I request more appropriate alternatives for the reasons indicated.

Do not return original course materials until you have received your new materials. Original course materials must be returned in reusable condition. CLASS will charge you for materials returned that are not reusable.
Course Title
Course Number
Reason for Change

Too difficult (student has not mastered the preliminary skills necessary for completing this course)Too easy (student already mastered all the concepts covered in this course)
Course Title
Course Number
Reason for Change

Too difficult (student has not mastered the preliminary skills necessary for completing this course)Too easy (student already mastered all the concepts covered in this course)
Course Title
Course Number
Reason for Change

Too difficult (student has not mastered the preliminary skills necessary for completing this course)Too easy (student already mastered all the concepts covered in this course)

Adding Courses
I would like the following courses added to my student’s curriculum. I understand that regardless of when this material is received, it will be due by the student’s ending date.
Course Title
Course Number
Course Title
Course Number
Course Title
Course Number

Deleting Courses
I would like the following courses deleted from my student’s curriculum. The student will not submit this work to CLASS for grading. Note: CLASS will not delete required or completed courses.
Course Title
Course Number
Course Title
Course Number
Course Title
Course Number