CREDIT FLEXIBILITY PROPOSAL
2024-2025 Academic Year

DATE: ________________________________________________

STUDENT NAME: _____________________________________________  ID#: ________________ GRADE IN 2024-25: ___________

PARENT/GUARDIAN NAME AND CONTACT INFORMATION: 

____________________________________________________________________________________________________________________

REASON(S) FOR PURSUING THIS PROGRAM (Check all that apply)
___ Early Graduation
___ Credit/Course Advancement
___ Transfer from Another School	___ Parenting Responsibility
___ Home Instruction
___ Health/Medical	___ Other (Specify below)	

Plan is for (check one). Each category requires a completed proposal or request. All forms can be found on the district website.

_______ Create a Flex Plan for an existing Sylvania Schools course (Credit Flexibility Proposal)
_______ Create a Flex Plan for a new course (Credit Flexibility Proposal)
_______ Test out of a course (Test Out Request)
_______ Pursue a Sylvania Board Approved Educational Option (Educational Options Plan)
COURSE INFORMATION:

COURSE TITLE: ____________________________________________________________________________________________________

CORE SUBJECT AREA/FIELD (e.g. physical science, fine arts, English):_______________________________________________

COURSE DURATION: 	_______ All Year	_______  Semester 1 Only	_______ Semester 2 Only

AMOUNT OF COURSE CREDIT: _______________________________________
If an off-site provider is involved, list the location and name of the organization/provider: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
*Per Ohio Department of Education and Workforce guidelines, credits earned through credit flexibility plan options, including the test-out option, are included on the official transcript in the same manner as traditionally-earned credits. Therefore, the results of all test-out options (subject and grade earned) will be included on the student’s official transcript.
STUDENT CONTRACT AND SIGNATURE PAGE:

I (student name) _________________________________________________________ understand the Credit Flexibility Option is an intensive process designed to allow me to work at my own pace to complete the assigned work.

STUDENT SIGNATURE: _____________________________________________________________________________________________

The student and parent must initial each item below as an indication of having read and accepted the following:
Parent		Student

_______ 	_______ 	The student will hold primary responsibility for the overall success or failure of the 
Course.

_______ 	_______ 	The student will be expected to allocate an average of _______  hours per week working 
toward the completion of this course.

_______ 	_______ 	The student will be expected to meet with the teacher of record at least _______  time(s).

_______ 	_______ 	The student understands that all credit flex classes must be added and dropped 
according to board policy.

_______ 	_______ 	The teacher reserves the right to remove the student from the course (withdrawn with 
penalty) for issues involving plagiarism, copyright violation, multiple submission, or other 
forms of academic dishonesty.

_______ 	_______ 	The teacher’s decision regarding a withdrawal from the course with penalty may be 
appealed to the principal according to board policy.

____________________________________________________________________________________________________________________
Student Signature										Date

____________________________________________________________________________________________________________________
Parent Signature										Date

____________________________________________________________________________________________________________________
Signature of Teacher of Record/Supervising Teacher						Date

____________________________________________________________________________________________________________________
Signature of Superintendent or Designee (Building Administrator)				Date

For office use only
CREDIT FLEX COMMITTEE

Date:

⬜ Approved

⬜ Not Approved (Reason)

PLAN FOR ASSESSMENT TO RECEIVE CREDIT AND GRADES
Attach additional sheets if necessary

Student Name: ____________________________________________________________________________________________________

Plan Title: _________________________________________________________________________________________________________

District Course or Graduation Requirement Being Met: ______________________________________________________________

Brief Description of Activities, Materials, and Course Requirements (e.g. registration and course fee, books, computer, inside/outside of school day)
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________

Learning Expectations and/or State/National Standards to be Evaluated: ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
Evaluative Criteria and Methods for Determining Grade and Credit:
____________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________
____________________________________________________________________________________________________________________

Name of Credentialed Educator Who Will Evaluate the Learning: _____________________________________________________

Credit to Be Awarded Upon Successful Completion:	_____________________________	Weighted: _____ Yes	_____ No

Anticipated Start and End Dates: ___________________________________________________________________________________