9th-12th Grade Independent Study Program Curriculum Plan (one per student)

Basic Information

School Year: *

Student Full Name (First, Middle, Last): *

Student Registered Grade Level: *

English

English Curriculum Name (4 req)

Does this class last 1 semester or 1 year?

Is this a .5 credit class or 1 credit class?

Note:

Math

Math Curriculum Name (4 req)

Does this class last 1 semester or 1 year?

Is this a .5 credit class or 1 credit class?

Note:

Science

Science Curriculum Name (3 req)

Does this class last 1 semester or 1 year?

Is this a .5 credit class or 1 credit class?

Note:

History

History Curriculum Name (2 req)

Does this class last 1 semester or 1 year?

Is this a .5 credit class or 1 credit class?

Note:

Government

Government Curriculum Name (.5 req)

Does this class last 1 semester or 1 year?

Is this a .5 credit class or 1 credit class?

Note:

Economics

Economics Curriculum Name (.5 req)

Does this class last 1 semester or 1 year?

Is this a .5 credit class or 1 credit class?

Note:

Bible

Bible Curriculum Name (2 req)

Does this class last 1 semester or 1 year?

Is this a .5 credit class or 1 credit class?

Note (please note how hours will be accomplished if there is no set curriculum):

Fine Art

Fine Art Curriculum Name (1 req)

Does this class last 1 semester or 1 year?

Is this a .5 credit class or 1 credit class?

Note (please note how hours will be accomplished if there is no set curriculum):

Personal Finance

Personal Finance Curriculum Name

Does this class last 1 semester or 1 year?

Is this a .5 credit class or 1 credit class?

Note (please note how hours will be accomplished if there is no set curriculum):

Foreign Language

Foreign Language Curriculum (2 req - in same language)

Does this class last 1 semester or 1 year?

Is this a .5 credit class or 1 credit class?

Note:

Health

Health (1 req, or .5 + PE credit)

Does this class last 1 semester or 1 year?

Is this a .5 credit class or a 1 credit class?

Note:

Physical Education

PE (1 req, or .5+ 1 Health credit)

Does this class last 1 semester or 1 year?

Is this a .5 credit class or 1 credit class?

Note (please note how hours will be accomplished if there is no set curriculum):

Electives

Elective 1 (3 req)

Does this class last 1 semester or 1 year?

Is this a .5 credit class or 1 credit class?

Note (please note how hours will be accomplished if there is no set curriculum):

Elective 2 (3 req)

Does this class last 1 semester or 1 year?

Is this a .5 credit class or 1 credit class?

Note (please note how hours will be accomplished if there is no set curriculum):

Name and contact information for any co-op being used to accomplish these credits:

Name and contact information for any learning organization/tutor used to accomplish these credits:

Are any of these classes for Dual Enrollment?

Yes No

Name and contact information of institution granting you Dual Enrollment credit:

Dual Enrollment Class 1:

Dual Enrollment Class 2:

Dual Enrollment Class 3

Dual Enrollment Class 4

Are any of your classes AP or Honors Level? (This is indicated in the title of the course).

Yes No

AP/Honors Class 1:

AP/Honors Class 2:

AP/Honors Class 3:

Enter Your Email Address: *