Full Year Curriculum Waiver

Full Year Curriculum Waiver
Student's Full Name

First NameLast Name
Student's Grade
Name of Curriculum/Platform
Has the student used the requested platform/vendor before?
Have all other curriculum needs been accounted for in the student's budget planning sheet? No additional instructional funds will be added due to poor planning.
Does the budget planning sheet include all necessary materials the provider requires with the curriculum, such as science lab kits, workbooks, novels, etc (those allowable with funds).
Have you, the learning coach, verified that all components of this curriculum match the student's curriculum needs?
Does the student have the necessary technology for this curriculum platform?
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email Address
example@example.com
Please select your HST from the dropdown below
Please initial next to the statement below
I understand that there are no refunds and/or cancellations, and that no additional funds will be added to my student's account.
Parent/Guardian Signature

Clear
Date

MonthDayYear
Date
Should be Empty:

Please initial next to the statement below