HARDIN COUNTY SCHOOLS                                                                          CHHS CREDIT

Extended School Services Program                                                                            Registration Form

 

¨ ESS                ¨ NIGHT SCHOOL

PRINT LEGIBLY:

Name ____________________________________________     Birthdate _____/_____/_____

 

Address ________________________________________          Soc. Security #  ____-____-______

 

City ___________________________   ZIP Code __________   Home Phone ________________

 

Current Grade Level _______

 

* * * * * * * * * *

 

★Note:  (Students may register for only one ½ credit per registration form.  A new form must be submitted each time a ½ credit is begun regardless of whether or not the student is already enrolled in ESS.)

 

 

Course and credit needed (Check the appropriate box):

COURSE

Course #

1st Sem.

2nd Sem.

COURSE

Course #

1st Sem.

2nd Sem.

 

English I

2301

 

 

Pre-Algebra

2718

 

 

English II

2302

 

 

Algebra 1 Pt. I

271001

 

 

English III

2303

 

 

Algebra 1 Pt. II

271002

 

 

English IV Pt. I

2304

 

 

Algebra 2

2711

 

 

Sociology Full Credit

2261

 

 

CP Algebra 1 Pt. I

2710011

 

 

Psychology Full Credit

2207

 

 

CP Algebra 1 Pt. II

2710012

 

 

Biology I

2517

 

 

CP Algebra 2

271101

 

 

Integrated Science

2536

 

 

Geometry

2712

 

 

Biology I

2517

 

 

U.S. History

2243

 

 

CP Chemistry I

252101

 

 

World Civ/Geography

224688

 

 

Chemistry I

2521

 

 

Political Science

2271

 

 

CP ICP

253001

 

 

Health Education

2851

 

 

ICP

2530

 

 

African American Studies

2240

 

 

Consumer Math

2717

 

 

Arts & Humanities

2218

 

 

 

 

 

 

Other:

 

 

 

 

 

 

I do verify that this student needs to make up a lost half-credit or whole credit in the course(s) marked above.

 

Counselor's Signature ____________________________________  Date ____________

 

Course credit will be earned when all class requirements are met with a passing grade.  All students must adhere to the rules of conduct for the Hardin County Schools.  Since this is a voluntary program, students who do not adhere to these rules of conduct may be dismissed .

I have read and understand the above information.

 

____________________________________               __________________________________         ___/___/___

Parent/Guardian Signature                                         Student Signature                                             Date

(Required for all students under the age of 18)