High School Graduation Pathways Waiver Form
Submit this form to request a waiver for a specific graduation pathway requirement. Please complete all sections accurately.
Student Full Name
*
First Name
Last Name
Student Date of Birth
*
 -
Month
 -
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Student ID Number (if applicable)
School Name
*
Graduation Pathway to be Waived
*
Please Select
Standard Diploma Pathway
Career and Technical Education (CTE) Pathway
Advanced Placement (AP) Pathway
International Baccalaureate (IB) Pathway
Dual Enrollment Pathway
Other (please specify below)
If 'Other', please specify the pathway
Reason for Waiver Request
*
Parent/Guardian Full Name (if student is under 18)
First Name
Last Name
Parent/Guardian Email
example@example.com
Signature
*
Submit Waiver
Submit Waiver
Should be Empty: