STUDENT NAME: __________________________________________________

TELEPHONE: ____________________ YEAR OF GRADUATION _________

COURSE NAME (S): ______________________ __________________________

______________________ __________________________

APPLICATION DEADLINE TEST DATES September 23, 2009 1st week in December

Last Wednesday in February Last week in April

Student has only one chance to test out of a specific class.

Student may NOT test out of Government and Physical Education.

Student must attain a score of C+ (77%) or better to earn credit.

Credit earned will be recorded on a student’s transcript as “G” (Pass) and will not be included in the grade point average.

Student cannot be enrolled in the course to be tested out.

A student may not receive credit by testing out for a lower level course in an academic course sequence. A student may not test out of a class in which credit has already been earned.

______________________________________ ___________________________________________ Student Signature Counselor Signature

______________________________________ ____________________________________________ Parent Signature Principal Signature

TESTING OUT RESULTS

NAME: __________________________________________________________________________

DATE: __________________________________ YEAR OF GRADUATION: ________________

COURSE TESTED: ________________________________________________________________

The student has met the minimum requirements C+ (77%) for receiving credit for the course listed above. The student will earn a grade of "G" for passing this test.

________________________________________ TEACHER SIGNATURE

***Please return this form to the Counseling Center.***