Class of 2022 Student Course Request Form
This form is designed to provide information to your class advisor, Mr. Lopez, regarding the courses you would like to take next year. Students should review their grades screen in SIS which shows all of the courses they have taken so far. Take into consideration courses you are currently taking when filling out this form. Be sure to read the questions carefully as some have multiple options. Dual Enrollment and Early Admission students should read the questions carefully and select the appropriate response(s). PLEASE NOTE: It may not be possible to give you all of the courses you request because your schedule will be developed with regard to the courses you need for graduation.
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Email *
Last Name *
First Name *
Please provide your personal email address (not your school email address) *
Please provide your cell phone number *
Please identify your career, You can only select ONE. *
ENGLISH LANGUAGE ARTS - 4 English credits are required for Graduation. Please select one. *
MATHEMATICS - 4 Math credits are needed for Graduation (Algebra 1, Geometry, and two other math courses). Please select one. *
SCIENCE - BIOLOGY - One credit in Biology is required for Graduation.  Please select one. *
SCIENCE - PHYSICAL SCIENCE - A Physical Science course is required for Graduation. Please select one. *
SCIENCE - SCIENCE ELECTIVE - A Science Elective is required for Graduation. Please select one *
SOCIAL STUDIES - U.S. HISTORY - U.S. History is required for Graduation. Please select one. *
SOCIAL STUDIES - ECONOMICS WITH FINANCIAL LITERACY HONORS - Economics with Financial Literacy is required for Graduation. This is a .5 credit course. Please select one. *
SOCIAL STUDIES - U.S. GOVERNMENT - U.S. Government is required for Graduation. This is a .5 credit course. Please select one. *
PHYSICAL EDUCATION - 1 credit of Physical Education is required for Graduation. The credit is earned by taking HOPE (1.0 credit) or Personal Fitness (.5 credit) and one other .5 credit PE course. This question addresses HOPE. Please select one *
PHYSICAL EDUCATION - This question addresses the optional method of earning this credit - Personal Fitness and one other  .5 credit PE course. Please select one. *
PHYSICAL EDUCATION - This question addresses the .5 credit PE course that must be taken with Personal Fitness. Please select one of the options below. *
FOREIGN LANGUAGE - a minimum of 2 credits of a Foreign Language are required for Graduation.  Both credits must be in the same Foreign Language. Please select only ONE of the choices.  Please note: If you have already completed 2 years of a Foreign Language, you can select the next level of the course. However, placement in the class(es) will depend upon student demand and space limitations within the schedule of courses. *
What other career academy courses would you be interested in taking next year?  These credits can be used as electives or to earn industry certifications. *
If you would like to take college courses at PBSC through either the Dual Enrollment or Early Admission Program, please select your choice, below. Both programs require the following test scores: SAT Reading 24, SAT Writing 25, SAT Math 24.5 (for College Algebra) OR ACT Reading 19, ACT English 17, and ACT Math 20. You can combine these scores to meet the test score eligibility requirement. Please note that LPN students MAY NOT participate in either the  Dual Enrollment or Early Admission program. *
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