ALTERNATIVE EDUCATION INDEPENDENT STUDY WRITTEN AGREEMENTAlternative Education Independent Study Agreement • August 6th, 2021
Student Name: Student ID #: Grade: Address: Birthdate: Age: City: Zip Code: Parent/Guardian/Caregiver Name: Phone Number: Email Address: Alternate Phone Number: District-Issued Device (Y/N): District-Issued Hotspot (Y/ N): School of Enrollment/Program Placement: Duration of Agreement (not to exceed one school year): Beginning Date: Ending Date:
