ut high school - personal graduation plan–selection form ......personal graduation plan–...

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Personal Graduation Plan–Selection Form Complete the fields below and then submit the form using the information listed at the bottom of the page. STUDENT INFORMATION Male Female UT EID (Skip if unknown.) Birth Date Check One Grade Level Planned Graduation Date (Semester-Year) Name: Last First MI Student Email: GRADUATION PLAN Foundation + Multi-Disciplinary Endorsement (Required for incoming freshman–26 credits) Distinguished Achievement (Check if pursuing additional recognition, requires Algebra 2) FOUR–YEAR PLAN SUBJECT 9 th Grade 10 th Grade 11 th Grade 12 th Grade ENGLISH 4 credits English 1 English 2 English 3 English 4 MATH 4 credits SCIENCE 4 credits SOCIAL STUDIES 4 credits WORLD LANGUAGES 2 credits P.E. 1 credit FINE ARTS 1 credit SPEECH credit ELECTIVES 5 ½ credits PERFORMANCE ACKNOWLEDGMENTS Dual Credit Bilingualism and Biliteracy PSAT/SAT/ACT TERMS OF AGREEMENT By signing this document, I acknowledge that the Foundation High School Program graduation and endorsement requirements have been explained to me. I also understand the significance of such options for post-secondary preparation. Furthermore, I have read and understand the UTHS handbook and the scholastic honesty statement. Student Name (Print) Student Signature Date Parent Name (Print) Parent Signature Date Counselor Name (Print) Counselor Signature Date AVAILABLE COURSES English Language Arts English 1 English 2 English 3 English 4 Mathematics Algebra 1 Geometry Algebra 2 Pre-Calculus Science Biology IPC (Prior to Chemistry and Physics) Chemistry Physics Environmental Systems Social Studies/Economics World Geography or World History U.S. History U.S. Government (1/2 credit) Economics (1/2 credit) World Languages Spanish 1 Spanish 2 Physical Education Personal Fitness (1/2 credit) Bowling & Cycling (1/2 credit) Bowling & Golf (1/2 credit) Bowling & Racquetball (1/2 credit) Cycling & Golf (1/2 credit) Cycling & Racquetball (1/2 credit) Golf & Racquetball (1/2 credit) Fine Arts Art 1 Fundamentals of Art History (1/2 credit) Music Theory Speech Comm. Applications (1/2 credit) Elective Courses Bus. Information Management Health 1 (1/2 credit) Intro to Psychology (1/2 credit) Journalism Spanish 3 University Extension Dual Credit * Intro to Microeconomics (ECO 304K) Intro to Psychology (PSY 301) Intro to Sociology (SOC 302) American Government (GOV 310L) The U.S. since 1865 (HIS 315L) *Additional costs apply SUBMISSION & CONTACT INFORMATION Address: P.O. Box 7700 Austin, TX 78713-7700 Phone: (512) 471-4808 Fax: (512) 232-6414 Email and Website: uthscounselor@austin.utexas.edu www.highschool.utexas.edu 01/2015

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Page 1: UT High School - Personal Graduation Plan–Selection Form ......Personal Graduation Plan– Selection Form Complete the fields below and then submit the form using the information

Personal Graduation Plan–Selection Form Complete the fields below and then submit the form using the information listed at the bottom of the page.

STUDENT INFORMATION

Male Female

UT EID (Skip if unknown.) Birth Date Check One Grade Level Planned Graduation Date (Semester-Year)

Name:Last First MI

Student Email:

GRADUATION PLAN

Foundation + Multi-Disciplinary Endorsement(Required for incoming freshman–26 credits)

Distinguished Achievement (Check if pursuing additional recognition, requires Algebra 2)

FOUR–YEAR PLAN

SUBJECT 9th Grade 10th Grade 11th Grade 12th Grade

ENGLISH4 credits

English 1 English 2 English 3 English 4

MATH4 credits

SCIENCE4 credits

SOCIAL STUDIES4 credits

WORLD LANGUAGES2 credits

P.E.1 credit

FINE ARTS1 credit

SPEECH1/2 credit

ELECTIVES5 ½ credits

PERFORMANCE ACKNOWLEDGMENTS

Dual Credit Bilingualism and Biliteracy PSAT/SAT/ACT

TERMS OF AGREEMENT

By signing this document, I acknowledge that the Foundation High School Program graduation and endorsement requirements have been explained to me. I also understand the significance of such options for post-secondary preparation. Furthermore, I have read and understand the UTHS handbook and the scholastic honesty statement.

Student Name (Print) Student Signature Date

Parent Name (Print) Parent Signature Date

Counselor Name (Print) Counselor Signature Date

AVAILABLE COURSES

English Language ArtsEnglish 1English 2English 3English 4

MathematicsAlgebra 1GeometryAlgebra 2 Pre-Calculus

ScienceBiologyIPC (Prior to Chemistry and Physics) ChemistryPhysicsEnvironmental Systems

Social Studies/EconomicsWorld Geography or World HistoryU.S. HistoryU.S. Government (1/2 credit) Economics (1/2 credit)

World Languages Spanish 1Spanish 2

Physical EducationPersonal Fitness (1/2 credit)Bowling & Cycling (1/2 credit)Bowling & Golf (1/2 credit)Bowling & Racquetball (1/2 credit) Cycling & Golf (1/2 credit)Cycling & Racquetball (1/2 credit)Golf & Racquetball (1/2 credit)

Fine ArtsArt 1Fundamentals of Art History (1/2 credit) Music Theory

SpeechComm. Applications (1/2 credit)

Elective CoursesBus. Information Management Health 1 (1/2 credit)Intro to Psychology (1/2 credit) JournalismSpanish 3

University Extension Dual Credit * Intro to Microeconomics (ECO 304K) Intro to Psychology (PSY 301)Intro to Sociology (SOC 302) American Government (GOV 310L) The U.S. since 1865 (HIS 315L)

*Additional costs apply

SUBMISSION & CONTACT INFORMATION

Address:P.O. Box 7700Austin, TX 78713-7700

Phone:(512) 471-4808

Fax:(512) 232-6414

Email and Website:[email protected] www.highschool.utexas.edu

01/2015