Hopewell Valley Central High School Academic Placement Waiver (2024-2025)
Please submit this form no later than April 22,  2024

*Students: Once this form has been submitted, we will seek parent/guardian authorization for this waiver via email.  Please be sure to provide an accurate email address for your parent/guardian below, where indicated. Thank you.
Email *
Student's Name *
Counselor: *
Current Grade: *
Today's Date: *
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Current Course & Teacher's Name: *
Requested Course: *
Please review the course expectations outlined in the Program of Studies. In your own words, please explain why you should be placed in this course and what you will do to make sure you are successful. *
Students, please carefully review the following and provide your consent, as indicated below: 

- I realize that I am requesting to override the eligibility requirements as put forth in the HVCHS Program of Studies.  

- I understand that this request will be considered on a space-available basis.  

- I understand that my teacher will not be held to regular one-on-one tutoring or daily recitation visits to ensure my success in this course, should I not be able to maintain the required level for successful performance.  

- I understand that I will not be permitted to drop this course, should I not be able to maintain the required level for successful performance

- I also understand that no more than two waivers will be honored per student per academic year, and that students are not permitted to waive into courses in the same subject area in consecutive years. 

*Please provide your authorization/signature by typing your full name below: 
 *
Please provide a parent's/guardian's name and email address so that we make seek their authorization for this waiver.

Parent/Guardian Name:
 *
Parent/Guardian Email: *
A copy of your responses will be emailed to .
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