James Hubert Blake High School Course Appeal
NOTE: Please complete the form below and return it to the Counseling Department with your Student Registration Form .
Student Name: __________________________________
ID: ________________
Grade_______
Name of Parent/Guardian: ______________________________________________________________
Parent Phone: ___________________ Parent Email: _________________________________________
Recommended Course __________________________
Desired Course_______________________
Recommended Course __________________________
Desired Course_______________________
Recommended Course __________________________
Desired Course_______________________
Recommended Course __________________________
Desired Course_______________________
Grades in current subject(s):
Current Course
Q1 Grade
Q2 Grade
S1 Exam
Grade
I understand I was not placed into my desired course(s). I realize that if I am permitted to take my desired
course(s) I do so against the recommendation of my teacher(s) and department resource teacher(s).
I also acknowledge that
(1) Placement into my desired course, without the necessary prerequisite skills, may result in poor
grades or even failure. If this occurs, I commit myself to work with my teacher during lunch
and/or after school and to put forth the time and effort necessary to succeed.
(2) Once the semester has begun, it will not be possible to switch out of the desired course.
(3) Students enrolled in an Advanced Placement (AP) course are expected to take The College
Board’s AP course examination given in May. Please be advised that the College Board charges
a fee for each exam administered. Students taking an AP examination are exempt from the June
MCPS final examination associated with their course(s); however, students may be required to
complete a comprehensive project. Students who select to take an AP course exam and are not
enrolled in the AP course will be required to pay the full cost of the exam fee.
Student Signature: _______________________________________ Date: ________________________
Parent Signature: ________________________________________ Date: ________________________