Elective Credit Reporting Form
Please fill a form out for each elective credit you are wanting verified for credit.
Today's Date
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Month
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Day
Year
Date
Student Name
First Name
Last Name
Student or Parent Email
example@example.com
Teacher Name (who actually taught the course/lesson/class)
First Name
Last Name
Course Scope and Sequence Summary: Scope, Sequence, Content Outline, Curriculum Provider, etc.
Completion artifact: Please submit 2 samples from each course being validated. Examples may include: Short research paper related to content, student summary of participation and what was learned, final assessment results, projects completed, assignment examples, and or pictures demonstrating completion of the course.
Browse Files
Cancel
of
Parent or Teacher Signature:
Submit
Should be Empty: