Panama-Buena Vista Union School District ALTERNATIVE EDUCATIONIndependent Study Master Agreement • September 13th, 2024
➔ This contract should be completed and submitted to the school office at least 5 days prior to the first intended day of absence. Completion of this form does not guarantee acceptance of this contract.
Independent Study Master AgreementIndependent Study Master Agreement • April 14th, 2016
The above named student is to complete the subjects/courses listed below within the dates covered by this agreement. The subject/course objectives reflect the curriculum adopted by the West Contra Costa Unified School District (WCCUSD) and the California Common Core State Standards. Specific requirements for each assignment covered by this agreement will be described on teacher-issued Assignment Sheets, which are part of this agreement.
HARVEST GROVE VIRTUAL ACADEMY INDEPENDENT STUDY MASTER AGREEMENTIndependent Study Master Agreement • May 24th, 2023
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:
Berryessa Union School District. 1376 Piedmont Road. San Jose, CA 95132-2494 INDEPENDENT STUDY MASTER AGREEMENTIndependent Study Master Agreement • December 3rd, 2008
Name: Student Number: Grade Address: Age: Birth Date: City: Zip Code: Phone: (408) Contract Duration: Start Date: End Date: *Assignments Due (date) (time) (School)
Grades TK–6 ELEMENTARY INDEPENDENT STUDY MASTER AGREEMENTIndependent Study Master Agreement • April 10th, 2023
Student Last Name: First Name: Middle Name: Date of Birth: Age: Grade Level: Address: City/State/Zip: Phone Number: Cell Phone: Alt. Phone: Duration of Agreement: One School Year Beginning Date: Ending Date:
INDEPENDENT STUDY MASTER AGREEMENTIndependent Study Master Agreement • February 27th, 2023
Student Last Name: First Name: Middle Name: Date of Birth: Age: Grade: Address: City/State/Zip: Home Phone: Cell Phone: Alt. Phone: Duration of Agreement: One School Year Beginning Date: Ending Date:
Independent Study Master AgreementIndependent Study Master Agreement • May 12th, 2014
The above named student is to complete the subjects/course listed below within the dates covered by this agreement. The subject/course objectives reflect the curriculum adopted by the West Contra Costa Unified School District, and the California Common Core State Standards. The courses follow the course descriptions adopted by the West Contra Costa Unified School District.
Shadow Ridge School Independent Study Master Agreement 7-12Independent Study Master Agreement • January 13th, 2021
STUDENT NAME STUDENT # GRADE AGE BIRTHDATE STREET ADDRESS CITY ZIP CODE PARENT/GUARDIAN (IF UNDER 18) PARENT CELL PHONE HOME OR WORK PHONE STUDENT PHONE NUMBER EMAIL ADDRESS
Murrieta Valley Unified School District Independent Study Master Agreement 2020-2021 School YearIndependent Study Master Agreement • July 30th, 2020
Student Name: Age: Birthdate: Student ID#: Address: County of Residence (must reside within Riverside County or adjacent county to be eligible): Parent Name(s): Parent Email: Phone Number: 2020-21 Home School: 2020-2021 Grade: Current Program Placement: General EducationGeneral Education with 504Individual Education Plan (IEP) RSP SDC Date of Transition Meeting (Authorized by IEP Team) Other Special Program Participation: EL Other: or NONE Has student been suspended or expelled? YES: NO:If YES, Independent Study is only available if the student is also offered the alternative of classroom instruction, per AR 6158 (a).) Master Agreement Duration: 2020/2021 School Year From: 08/14/2020-06/04/2021 Location: Murrieta Canyon Academy - 24150 Hayes Ave., Murrieta, Ca
Independent Study Master AgreementIndependent Study Master Agreement • May 7th, 2018
FOR TEACHER USE ONLY:Duration of Agreement: 20 to 20 Beginning Date: _ Ending Date: Reporting Schedule: Manner: Face to Face; Online/Email; or Phone Frequency: WeeklyPlace: 117 / 110 / 111; 145 / 146 / 147; 144 / 142 / 143; 120 / 195 Day: M T W TH F Time: The following courses will be attempted this school year: Subject Course Title Course Number Credits Subject Course Title Course Number Credits Prior to receipt of official transcript, Course Contract(s) will be based on Supervising Teacher’s assessment of student’s needs. Additional courses or changes may be made upon receipt of the official transcript if the agreement is re-signed and re-dated by the Supervising Teacher and the student.
ACE Charter High School Independent Study Master AgreementIndependent Study Master Agreement • September 10th, 2022
City Zip Home Phone Cell Phone Duration of Agreement Beginning Date Ending Date Program Placement Please circle all that apply: General Ed / Special Ed / IEP / RSP / Speech / 504 / SDC / OT / APE / Intermediate / Elementary
Independent Study (IS) Master Agreement; Full-Time and Part-Time/Course-BasedIndependent Study Master Agreement • August 13th, 2021
The student will complete the course(s) listed below during the current school year. All course objectives will be consistent with established district guidelines. Assignment and work record forms will include additional descriptions of the major objectives and activities of the course of study covered by the agreement. It is understood that:
INDEPENDENT STUDY MASTER AGREEMENTIndependent Study Master Agreement • November 21st, 2019
The major educational objective is for the student to successfully complete the subjects/courses listed below and to keep current with grade level studies.
Los Angeles Unified School District Elementary School Master Agreement for Independent Study (IS)Independent Study Master Agreement • July 27th, 2020
Pupil Name: Pupil ID: Grade: Address: Birthdate Age: City: Zip Code: Home Phone: Work Phone: Cell Phone: Email Address: Duration (Total Instructional Days): Start Date: End Date: School Enrolled:
Grades 7-8 INDEPENDENT STUDY MASTER AGREEMENTIndependent Study Master Agreement • April 9th, 2023
Student Last Name: First Name: Middle Name: Date of Birth: Age: Grade Level: Address: City/State/Zip: Phone Number: Cell Phone: Alt. Phone: Duration of Agreement: One School Year Beginning Date: Ending Date:
Bella Mente Academies Independent Study Master AgreementIndependent Study Master Agreement • July 10th, 2020
Manner:⬜ One to one⬜ Small group⬜ Mail⬜ Other Frequency:⬜ Daily⬜ Once a week⬜ Biweekly⬜ Monthly⬜ Other Location:⬜ School Site⬜ Home Education Office⬜ Home⬜ Other
Independent Study Master Agreement (Contract)Independent Study Master Agreement • September 17th, 2020
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:
NORWALK-LA MIRADA UNIFIED SCHOOL DISTRICT ALTERNATIVE PROGRAMS & SUPPORT - IND STUDY / VIRTUAL / STIS MASTER AGREEMENTIndependent Study Master Agreement • June 23rd, 2022
Student Name: Student # Grade: Address: Age: DOB: City: Zip Code: Parent Cell # Parent/Guardian Name: District-Issued Device (Y/N): Student Cell # Parent/Guardian Email: Access to Wifi (Y/N): Duration of Agreement: School of Enrollment: Start Date: Ending Date:
TORRANCE UNIFIED SCHOOL DISTRICT INDEPENDENT STUDY MASTER AGREEMENTIndependent Study Master Agreement • March 4th, 2024
Student Name: Student SSID #: Grade: Address: Birthdate: Age: City: Harbor City Zip Code: Parent/Guardian/Caregiver Name: Phone Number: Email Address: Alternate Phone Number: District-Issued Device (Y/N): District-Assisted Internet Access (Y/N): School of Enrollment/Program Placement: Torrance Elementary / Dual Immersion Duration of Agreement (not to exceed one school year). Beginning Date: Ending Date:
GRADES 9-12 INDEPENDENT STUDY MASTER AGREEMENT School YearIndependent Study Master Agreement • April 7th, 2023
Student Last Name: First Name: Middle Name: Date of Birth: Age: Grade: Address: City/State/Zip: Home Phone: Cell Phone: Alt. Phone: Duration of Agreement: One School Year Beginning Date: Ending Date:
San Pasqual Valley Unified School District Independent Study Master Agreement COVID-19 2021-2022Independent Study Master Agreement • July 21st, 2021
For the 2021-22 school year, Local Education Agencies must offer an independent study option to students and families to be made available to students whose health would be put at risk by in-person instruction, as determined by the parent or guardian.
INDEPENDENT STUDY (IS) MASTER AGREEMENTIndependent Study Master Agreement • August 28th, 2024
Students participating in independent study for a period of 16 days or more must have a written Master Agreement signed before the commencement of independent study.
Manteca Unified School District-MUSD Online Academy Independent Study Master Agreement K-8 8/3/2021Independent Study Master Agreement • August 5th, 2021
complete the assigned content for the duration of the contract. All course objectives are consistent with the established Manteca Unified and MUSD board policies and content standards as outlined. The work
ContractIndependent Study Master Agreement • January 7th, 2019
Da Vinci Charter Academy – Short Term Independent Study Master Agreement 7-12DAVIS JOINT UNIFIED SCHOOL DISTRICT1400 E. 8th Street, Davis, CA 95616 ♦ 530.757.7154 ♦ FAX: 530.759.2178Student: Grade Age: Birthdate: Gender: Home Address: City/ZIP Parent/Guardian: Telephone (H): (W): (Alternate Phone): Student email address: Parent email address: Semester: Agreement Duration from: Program Goal:The goal of Da Vinci Charter Academy (DVCA) is to offer a means of individualizing the educational plan for students whose needs may best be met through study outside of the traditional classroom instructional setting. All who participate in Independent Study shall do so on a voluntary basis. No student shall be required to participate in Independent Study. Minimum enrollment is 1 school day. Maximum enrollment is 10 consecutive school days and 14 school days total in a school year. All work is due three days upon return. Expectations:▪ The student will keep current with the courses listed below for
INDEPENDENT STUDY MASTER AGREEMENTIndependent Study Master Agreement • July 21st, 2020
(Additional classes may be added as needed. Maximum number of credits attempted cannot exceed the District adopted standards)
San Pasqual Valley Unified School District Independent Study Master AgreementIndependent Study Master Agreement • July 26th, 2022
For the 2022-23 school year, the State of California has moved away from offering all students the opportunity to participate in Independent Study. Moving forward, Independent Study qualifications return to requiring a doctor’s medical note verifying student need for this type of program. All other considerations for Independent Study are a case by case and not guaranteed*.
INDEPENDENT STUDY MASTER AGREEMENTIndependent Study Master Agreement • May 18th, 2020
Objectives, Methods of Study, Methods of Evaluation, Resources, & Reporting The student is to complete the subjects/courses listed herein. Subject/course objectives reflect board-adopted curriculum and are consistent with Venture Academy's mission and vision. Specific objectives, methods of study, methods of evaluation, resources for each assignment covered by this agreement, and a schedule for required reporting to the student’s teacher will be described on the student’s monthly Assignment Work Record, which is a part of this agreement. Any subsidiary agreement(s) are also part of this
Independent Study Master AgreementIndependent Study Master Agreement • September 12th, 2016
❏ A. LongTerm Independent Study: This option is for students who are absent for an extended period of time due to health and safety issues or who are out of the country on approved leave. With this option, the student misses school for two or more weeks and will fall behind in their academic progress unless completing schoolwork via Independent Study. For critical health issues a HomeHospital contract may be required.
LAKE TAHOE UNIFIED SCHOOL DISTRICT INDEPENDENT STUDY MASTER AGREEMENTIndependent Study Master Agreement • October 15th, 2015
Student name: Student #: Grade level: Address: Age: Birth date: City: Zip code: Phone #:2nd Phone # School of enrollment/program placement: LTESMS Duration of agreement (min 5 school days): Beginning date: Ending date:
INDEPENDENT STUDY MASTER AGREEMENT 2021-2022Independent Study Master Agreement • August 26th, 2021
The subject areas listed below will be attempted by the student during the period of time specified on this agreement. No independent study agreement shall be valid for any period longer than one school year. All course objectives will be consistent with the district's governing board policies and with the guidelines established by the district’s course curriculum guide. Study guides for individual courses contain additional descriptions of student objectives, study methods, resources, and methods of evaluation. Each Independent Study teacher will provide weekly synchronous instruction opportunities for all students participating in Independent Study for more than 15 school days or more. The Independent Study teacher will be responsible to evaluate submitted work and assign a letter grade or credit. Each course provides credit toward graduation as specified in the course contract.
Novato Charter School Independent Study Master AgreementIndependent Study Master Agreement • June 22nd, 2023
Student Name Student # Grade Level Student Home Address Student Age Birth Date City Zip Code Teacher Name Student Phone # Student Email Address Does your home have internet connectivity? YES NO If your home does not have internet connectivity, NCS will provide you with a digital hot spot Parent Name, email address, and phone number: School of Enrollment: Novato Charter School, 940 “C” Street, Novato, CA 94949 Duration of Agreement (Not to Exceed 45 Days) Beginning Date Ending Date
ContractIndependent Study Master Agreement • April 5th, 2019
Da Vinci Charter Academy – Short Term Independent Study Master Agreement 7-9DAVIS JOINT UNIFIED SCHOOL DISTRICT1400 E. 8th Street, Davis, CA 95616 ♦ 530.757.7154 ♦ FAX: 530.759.2178Student: Grade Age: Birthdate: Gender: Home Address: City/ZIP Parent/Guardian: Internet Access While on Independent Study? Yes NoTelephone (H): (W): (Alternate Phone): _ Student email address: Parent email address: Semester: Agreement Duration from: _ Program Goal:The goal of Da Vinci Charter Academy (DVCA) is to offer a means of individualizing the educational plan for students whose needs may best be met through study outside of the traditional classroom instructional setting. All who participate in Independent Study shall do so on a voluntary basis. No student shall be required to participate in Independent Study. Minimum enrollment is 1 school day. Maximum enrollment is 10 consecutive school days and 15 school days total in a school year. All work is due three days upon return. Expectations: The studen
ContractIndependent Study Master Agreement • January 7th, 2019
Da Vinci Charter Academy – Short Term Independent Study Master Agreement 7-12DAVIS JOINT UNIFIED SCHOOL DISTRICT1400 E. 8th Street, Davis, CA 95616 ♦ 530.757.7154 ♦ FAX: 530.759.2178Student: Grade Age: Birthdate: Gender: Home Address: City/ZIP Parent/Guardian: Telephone (H): (W): (Alternate Phone): Student email address: Parent email address: Semester: Agreement Duration from: Program Goal:The goal of Da Vinci Charter Academy (DVCA) is to offer a means of individualizing the educational plan for students whose needs may best be met through study outside of the traditional classroom instructional setting. All who participate in Independent Study shall do so on a voluntary basis. No student shall be required to participate in Independent Study. Minimum enrollment is 1 school day. Maximum enrollment is 10 consecutive school days and 15 school days total in a school year. All work is due three days upon return. Expectations: The student will keep current with the courses listed below for
Independent Study Master Agreement 01/21Independent Study Master Agreement • January 24th, 2021
STUDENTNAME DOB AGE GR STUDENTID ADDRESS CITY ZIP SCHOOL PARENT NAME & PHONE: 2ND PHONE STUDENT PHONE STUDENT EMAIL PARENT EMAIL START DATE END DATE DURATION OF AGREEMENT TEACHER APPOINTMENT
