Off-Track Appeal Form
Off-Track Appeal Form
This form will be sent to your class administrator for review.
Name
Name
*
First
Last
Student ID Number
*
Must be
6
digits.
Currently Entered:
0
digits.
Class/Grade
Class/Grade
Class of 2021 (9th) Ms. Cordero
Class of 2020 (10th) Ms. Makris
Class of 2019 (11th) Ms. Wilson
Class of 2018 (12th) Ms. Owens
Student E-Mail Address
Student Cell Phone
Student Cell Phone
-
###
-
###
####
I did not receive my band because...
I did not receive my band because...
I am a new student
I don't know why I didn't get it.
Information in MyStudent is incorrect.
You are not on track or You did NOT earn your band because: (Check all the apply)
You are not on track or You did NOT earn your band because: (Check all the apply)
Credits: I am 1/2 credit or more behind
GPA: I am below a 2.0
Discipline: I earned a level 3 referral
Attendance: I have more than 5 unexcused absences
If you are not on track or did NOT receive your band due to credits, describe what specific actions you have taken to recover your credit/credits.
If you are not on track or did NOT receive your band due to credits, describe what specific actions you have taken to recover your credit/credits.
I made up a credit through APEX
I made up a credit through summer school
I made up a credit online through FLVS or Pasco eSchool
I meet the following qualifications: I am enrolled in a credit recovery program (APEX, FLVS, eSchool, or Adult Ed.) I am active in this program, and I am making adequate progress toward recovering my credit (at least 5% progress per week enrolled and a grade of C or better). I understand that I must provide evidence of this.
Other
Other
If you did not receive your band because your unweighted cumulative GPA is below 2.0, what are your Quarter 2 grades (not your semester grades)?
Attendance Make-up: Check the following box if you did not receive your band due to attendance.
Attendance Make-up: Check the following box if you did not receive your band due to attendance.
Please call me down to schedule days and times to make up attendance.
Discipline:
Please explain in detail what level 3 referrals you have received, what you have learned, and what steps you are taking to ensure that you do not receive any further referrals.
Maximum of
500
characters allowed.
Currently Entered:
0
characters.