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1 similar Independent Study Master Agreement contracts
Murrieta Canyon Academy (Grades 9-12) Independent Study Master AgreementIndependent Study Master Agreement • September 13th, 2021
Student Name: Stu ID# Grade: Birthdate: Age: Gender: Parent/Guardian: Parent/Guardian: Address: City: Zip Code: County: Telephone: Alt. Telephone: Email/s: District-Issued Device (Y/N): District-Issued Hotspot (Y/N): Special Programs ☐Health Plan ☐ 504 Plan ☐IEP, COP date: Duration of Agreement (not to exceed one school year): Beginning Date: Ending Date: Resident School: Inter-district ☐n/a OR Date: Pre-Enrollment Conference (if requested): Date: Time: Location:
