Student's Name:

Date of Birth: (month/day/year)

Requested Graduation Date: (month/year)

I request accelerated graduation for the following reasons:

Counselor's Endorsement

I have met and reviewed this students application.  He/she (CAN) (CANNOT) meet the course requirements for the graduation day requested.  Attached is a copy of the course plan and transcript.

Counselor:__________________________________Date:______________________

Parent(s) and Student Approval

After meeting with the principal, I have carefully considered this matter with my student and grant my approval for his/her early graduation.  My student and I accept any responsibility for any adverse effects that this request and early graduation may have on his/her future.  My student also assumes responsibility for keeping in contact with the school in regards to matters that affect graduation and the ceremony.

Parent:____________________________________Date:________________________

Student:___________________________________Date:________________________

Principal's Approval

I have met with the parents of the student listed above and  (APPROVE) (DO NOT APPROVE) for this student to pursue accelerated graduation.  Graduation will be contingent upon completion of all state and local requirements.  Under regulations, this student will not be able to compete for honors status.  Approval will not be granted for students who need additional units after the projected graduation date. 

Principal________________________________Date:_________________________