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COUNSELOR APPROVAL FORM
Counselors, please fill this form and follow the instructions.
Today's Date
MM slash DD slash YYYY
Student's Name
First
Last
Student's Date of Birth
MM slash DD slash YYYY
Current School
Grade (currently in)
Approved By
First
Last
Title
This field is hidden when viewing the form
Full Name
A School Administrator/Counselor/Registrar signature is required to assure that transfer credit will be awarded to the student upon successful completion of the course(s) from American Virtual Academy.
This field is hidden when viewing the form
A School Administrator/Counselor/Registrar signature is required to assure that transfer credit will be awarded to the student upon successful completion of the course(s) from American Virtual Academy.
Course Name
Semester A
Semester B
Original Credit
Credit Recovery
Credit By Exam: A minimum score and proctored test may be required by the approving school.
Course Name
Semester A
Semester B
Original Credit
Credit Recovery
Credit By Exam: A minimum score and proctored test may be required by the approving school.
Course Name
Semester A
Semester B
Original Credit
Credit Recovery
Credit By Exam: A minimum score and proctored test may be required by the approving school.
Course Name
Semester A
Semester B
Original Credit
Credit Recovery
Credit By Exam: A minimum score and proctored test may be required by the approving school.
Course Name
Semester A
Semester B
Original Credit
Credit Recovery
Credit By Exam: A minimum score and proctored test may be required by the approving school.
Course Name
Semester A
Semester B
Original Credit
Credit Recovery
Credit By Exam: A minimum score and proctored test may be required by the approving school.
Notes
Upon completion of the course, where should the transcript be sent?
Registrar/Counselor Name
First
Last
Email Address
School Mailing Address
Δ
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Counselor Approval Form
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