AEF 2020 Course Withdrawal Request Form

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Students who complete this "Withdrawal Request Form" and submit it prior to the final deadlines will have no record of the summer course on their transcript. Please fill out this form for each class you are withdrawing from.

*1st Session Withdrawal Deadline: Friday June 26th
Courses beginning June 15th and ending July 1st - Withdraw by Friday June 26th to have no record of the course on your transcript.

*2nd Session/10 Credit Course Withdrawal Deadline: Friday, July 17th
Courses beginning July 6th and all 10 credit courses - Withdraw by Friday, July 17th to have no record of the course on your transcript.

REFUNDS: There will be NO REFUNDS issued for cancellation requests received after June 17th for 1st Session and 10 Credit courses or after July 8, 2020 for 2nd Session courses.

Email *

Student First Name (Legal) *

Student Last Name (Legal) *

Student Email *

Student ID number *

Student phone number

Parent Name (last, first) *

Parent Phone Number

Parent/ Guardian 1 Email *

Parent/ Guardian 2 Email (optional)

Course Withdrawing from *

Algebra 1 A/B

Algebra 1 Prep

Algebra 2 A/B

American Government

Biology A/B

Chemistry A/B

College Essay Workshop

Computer Programming Java

Computer Science

Economics

English 9A

English 9B

Expository Writing

Geometry A/B

Geometry Prep

Health

Introduction to Engineering Design A/B

Physics A/B

Precalculus A/B

Spanish 2 A/B

Speech Dynamics

U.S. History A/B

Writing Enrichment

Course Instructor's Name *

Reason for Withdrawal (please provide the reason/explanation for withdrawal) *

Course Withdrawal *

I understand my student WILL NOT receive credit for the course(s) being withdrawn.

Required

Name of person filling out this form (first and last name) *

Textbook(s) on loan from the Arcadia High School Library *

Yes, my student has a textbook to return

No, my student does not have any textbooks checked out to him/her for the summer AEF session

Chromebook on loan from the Arcadia High School Library (non AUSD student)

Yes, my student has a Chromebook checked out to him for the summer (non AUSD students)

No, my student does not have a Chromebook checked out to him/her (non AUSD students)

Clear selection

Electronic Parent/Guardian Signature *

Please type your name and your relation to the student. Example: Jane Smith - mother

Submit

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