TEST OUT REQUEST FORM
2024-2025 Academic Year

DATE: ________________________________________________

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

PARENT/GUARDIAN NAME AND CONTACT INFORMATION: 

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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):_______________________________________________

AMOUNT OF COURSE CREDIT: _______________________________________

The credit flexibility test out option provides students with an opportunity to earn high school credit through a demonstration of content mastery. It is suggested that any student requesting the test out option should discuss the option with their parent/guardian, counselor, and a content area teacher. Test out options may not be limited to one written exam but may include any of the following components: presentation, portfolio, assignment, composition, research paper, lab practical, etc. Test out options will be made available within 60 days from the student request. Parents will be responsible for costs associated with the test out option. Costs may include test preparation, test cost, grading of test and/or portfolio, presentation, time to monitor test, lab practical, etc.

Students requesting the test out option must complete the following form and submit the signed form to the assistant principal of teaching and learning by the listed deadlines:
●	Requests for first semester of the next school year must be received by March 31st
●	Requests for second semester must be received by September 30th 
STUDENT CONTRACT:

Name: ______________________________________________Student ID: ___________________________ Date: _______________

Request for a test out option for the following subject: ____________________________________ Number of credits: _______

What prerequisite courses and/or other experiences have prepared you in the subject area?

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List the standards/learning targets (Found in Ohio’s Learning Standards) for which you intend to demonstrate mastery.

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Brief Description of the Criteria for Awarding Credit and/or Grades:

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By signing this document, I am indicating:
●	I accept responsibility for any additional costs associated with the test out option. An estimate will be provided prior to final acceptance.
●	I am aware the subject and grade will be included on my official transcript.
●	I am aware course credits earned through test out options may not meet the criteria for athletic scholarships.
●	I am aware the test out option may result in the writing of a Credit Flex plan to complete the gaps shown in the assessment.

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Student Signature										Date

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Parent Signature										Date

*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.