Adopted: February 1999
Revised: May 2005
Download 602.4P - Course Credit by Assessment: Application for Testing Out of a Course
When a student applies for high school course credit through the assessment process, it is assumed the student believes that he or she is ready to demonstrate the learner outcomes of the course can be met in place of the traditional teaching/learning process.
The student will discuss the request for testing out with the school counselor and then complete this application. The application must be received before the beginning of the trimester (or quarter) preceding the regular class. (The summer period is treated as one trimester or quarter.) All portions of the assessment must be completed within a two-trimester (or two-quarter) period and at least six weeks before the regular class.
TO BE COMPLETED BY THE STUDENT
Student’s name Home phone ( )
Street address City Zip
Grade School Date
I request permission to test out of the following course:
I believe I am qualified to test out of this course for the following reasons:
Student’s signature Date
TO BE COMPLETED BY STUDENT’S PARENT OR GUARDIAN
I have reviewed the student guidelines and the above application, and I grant permission to proceed with the testing out process for the above-named course.
Parent or Guardian’s signature Date
TO BE COMPLETED BY SCHOOL OFFICE PERSONNEL
Counselor’s signature Date application received
Result of assessment process: Failed to complete process on time
(check appropriate blank) Did not pass both assessments
Earned credit
Principal’s authorization of credit earned Date