Christian Liberty Academy School System

Curriculum Adjustment Request Form

Use one form per student. Please submit this form as many times as necessary for additional requests. CLASS reserves the right to approve or deny each request. Fields in RED are required.

Family Information
Date of Request
Family ID
Head of Household


As listed on mailing label or Master Assignment Sheet (packing list)
Family’s Current Address
City
State or Province
Zip Code
Country
Daytime Phone Number
Email Address


Student Information
Student ID
Student’s Name
Grade Level


Parent “Signature”
By entering my name here, I agree that the information provided is accurate and that I am authorized to make these changes to my student’s curriculum.
Parent’s Name


General Comments

Choose Each Option That Applies
Course changes or additions must be requested within six (6) months after the date the curriculum was shipped. More time may be granted to those whose books were shipped between April 8th and September 1st. Course deletions may be requested at any time prior to course completion. CLASS reserves the right to deny a request if it falls beyond the allowable time limit or if CLASS considers the requested action to be inadvisable for any other reason (you will be notified if such an event occurs).

Course numbers and titles can be found on your student’s Master Assignment Sheet (packing list).

Select one of the following to go directly to that section. To submit the form to CLASS, go to the end of the page.

 


I received the following courses as listed on my packing list, but I request more appropriate alternatives for the reasons indicated.

  Do not return original course materials until you have received your new materials. Original course materials must be returned in reusable condition. CLASS will charge you for materials returned that are not reusable.

Course Title
Course Number

Reason for Change




Too difficult (student has not mastered the preliminary skills necessary for completing this course)

Too easy (student already mastered all the concepts covered in this course)


Course Title
Course Number

Reason for Change




Too difficult (student has not mastered the preliminary skills necessary for completing this course)

Too easy (student already mastered all the concepts covered in this course)


Course Title
Course Number

Reason for Change




Too difficult (student has not mastered the preliminary skills necessary for completing this course)

Too easy (student already mastered all the concepts covered in this course)



The following items are listed on the Master Assignment Sheet (packing list) but were not received. They were not marked “B,” “C,” or “D.”

Course Title
Course Number

Missing Materials


Textbook


Workbook


Tests
Course Instructions Answer Key    


Course Title
Course Number

Missing Materials


Textbook


Workbook


Tests
Course Instructions Answer Key    


Course Title
Course Number

Missing Materials


Textbook


Workbook


Tests
Course Instructions Answer Key    



I would like the following courses added to my student’s curriculum. I understand that regardless of when this material is received, it will be due by the student’s ending date.

Course Title
Course Number


Course Title
Course Number


Course Title
Course Number



I would like the following courses deleted from my student’s curriculum. The student will not submit this work to CLASS for grading. Note: CLASS will not delete required or completed courses.

Course Title
Course Number


Course Title
Course Number


Course Title
Course Number



The following items have been lost or misplaced, and require replacement. I understand there may be a charge for these items and that it will be billed to my account.

Course Title
Course Number

Missing Materials


Textbook


Workbook


Tests
Course Instructions Answer Key    


Course Title
Course Number

Missing Materials


Textbook


Workbook


Tests
Course Instructions Answer Key    


Course Title
Course Number

Missing Materials


Textbook


Workbook


Tests
Course Instructions Answer Key    


If you would like a copy of this form before submitting it to CLASS, print now.