Pervious Course: Pervious Teacher: Marking Period 1 Marking Period 2: Midterm Exam: Semester Average: Marking Period 3: Marking Period 4: Final Exam: Final Average: Teacher Recommendation: Test Scores: Test Scores: Test Scores: No ⁯ Yes ⁯ MEETING Conference Date: Attendance: Comments: DEPARTMENT SUPERVISOR’S APPROVAL Signature: Date: Approved ⁯ Not Approved ⁯ Comments: COMPLETION OF PROCESS Signature: Date: Supervisor’s Letter Attached: Grade History Attached: Meeting Held: Signatures Acquired: Yes No Yes No Yes No Yes No ⁯ ⁯ ⁯ ⁯ ⁯ ⁯ ⁯ ⁯
Pervious Course: Pervious Teacher: Marking Period 1 Marking Period 2: Midterm Exam: Semester Average: Marking Period 3: Marking Period 4: Final Exam: Final Average: Teacher Recommendation: ⁯ Yes ⁯ No Test Scores: Test Scores: Test Scores: MEETING Conference Date: Attendance: Comments: DEPARTMENT SUPERVISOR’S APPROVAL Signature: Date: ⁯ Approved ⁯ Not Approved Comments: COMPLETION OF PROCESS Supervisor’s Signature: Date: Letter Attached: ⁯ Yes ⁯ No Grade History Attached: ⁯ Yes ⁯ No Meeting Held: ⁯ Yes ⁯ No Signatures Acquired: ⁯ Yes ⁯ No
Waiver%20Form.docx