PBTCC Individual Vocational Education Plan Embedded Course Agreement
The online version of standard print agreement (contact Charles Kinsey with any questions charleskinsey@pb.k12.mo.us or frankiemoe@pb.k12.mo.us)
Sign in to Google to save your progress. Learn more
Student First Name
Student Last Name
Anticipated Year of Graduation
Current Grade Level
Sending School
PBTCC Program of Study
Embedded Course Title
2nd Embedded Course Title (if applicable)
Goals: Successful Completion and 70% mastery of the objectives included in the online program.
Anticipated Beginning Date of Course Work
MM
/
DD
/
YYYY
Anticipated Ending Date of Course Work
MM
/
DD
/
YYYY
PBTCC Staff Responsible for Implementation:  Charles Kinsey - Director, Frankie Moe - Basic Skills
Indicate the Sending School Staff Member Designated for support and implementation, plus credit award and transcripting decisions:  (List the Principal, Counselor, and Coordinating Instructor) *
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of Poplar Bluff School District. Report Abuse