Senior Privilege Permission Form
This form must be filled out by a parent/guardian with their email address.
Sign in to Google to save your progress. Learn more
Email *
Senior Privileges Expectations

King Philip High School seniors in good standing (academic, attendance, behavioral) at  the end of first quarter of their senior year, will be granted senior privileges beginning in the second quarter of their senior year.  These privileges include early release, late arrival, off-campus lunch (when scheduling permits), outdoor cafeteria access, and the ability to participate in the senior class activities.


Senior Privileges Procedures:

Arriving Late* - Students with a study hall first period must be checked in at the main office by 8:30 am. Signing in after 8:35 will result in a tardy being issued. Students must remain in the lobby until the 8:41 bell rings signaling the end of first period.


Leaving Early - Students with a study hall last period must check out in the main office by 1:17 pm. Once you check out you must leave the building by the front door. Students leaving the building by any other door will be considered “cutting class”


Lunch - Students with a study hall during the 4th period lunch block may check out in the main office at 10:41 am and must leave through the front lobby doors. Students must check back in with the main office by 12:15 pm and wait in the front lobby for the 12:19 bell signaling the end of 4th period.  YOU MAY NOT BRING FOOD BACK INTO THE BUILDING.  

Rules:

Seniors are not eligible for privileges and/or may have them revoked if they:

  • Have 2 or more tardies within the first two weeks of the school year.

  • Absences meet the federal definition for chronic absenteeism (missing at least 10 percent of days in a school year for any reason, including excused and unexcused absences)

  • Receive a suspension.

  • Cut class

  • Are on academic probation (not passing core academic classes).

  • Have exhibited unacceptable behavior at any school-sponsored event

Important Notes
You may start your privileges once they appear in your schedule.
We cannot add Senior Privileges to VHS blocks, Academic Support Blocks, Applied Strategies Blocks, or during peer tutoring blocks.
The privilege occurs first, last, or during lunch block. You must report to study hall during the other blocks or lose the privilege.
Student First Name
Student Last Name
Parent Consent--I give permission for my senior to participate in KPHS Senior Privilege Program
Clear selection
Student Consent--I agree to follow all of the expectations outlined above or understand that my privileges may be revoked
Clear selection
Semester One Study Block--
Clear selection
Semester Two Study Block
Clear selection
Submit
Clear form
Never submit passwords through Google Forms.
This form was created inside of King Philip Regional. Report Abuse
Google Forms