20-21 Request for Independent Study (Pleasanton USD)
Please complete this form to request Independent Study. You will be contacted to schedule an intake meeting and additional questions will be answered for you at that time. Please read all of the information available on the PUSD independent study website.
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Email *
Parent/Guardian Name
Student Name
Student ID Number
Current School of Residence
If your student is in grades 6-12 please list all courses they are currently enrolled in.
What is the primary reason for requesting independent Study?
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