Ukiah High SchoolUkiah Unified School District

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Integrity, Creativity, Productivity, And Compassion
School Forms » No Educational Content Form

No Educational Content Form

NO EDUCATIONAL CONTENT FORM PARENT AUTHORIZATION FOR STUDENTS ENROLLED IN LESS THAN 6 PERIODS AND/OR ENROLLED IN A COURSE WITH NO EDUCATIONAL CONTENT
 
Date _______________________________

Student Name ________________________ Grade _________ Counselor ____________________________

Per Ed. Code 51228.1C1, I consent in writing to my child being enrolled in a course without educational content and/or being enrolled in a schedule that concludes before the end or after the beginning of the designated school day (if the student has less than six classes).
 
MARK ALL THAT APPLY 
□ 609832 Community Service □ 440110 Teacher’s Assistant
□ 440112 Instructional Assistant  □ 440115 Office Assistant 
□ 600105 Study Hall  □ 601204 Late Start 
□ 609841 Leave Early  □ 609830 Concurrent Enrollment 
 
I have read the above statement about Ed Code 51228.1C1 and give my consent.

______________________________________________
Parent Signature

In addition, the following courses require teacher approval:
□ 440110 Teacher’s Assistant
Teacher Name __________________________ Teacher Signature _____________________________
 
□ 440112 Instructional Assistant
Teacher Name ________________________ Teacher Signature ____________________________
 
□ 440115 Office Assistant
Name of Office _________________________ Office Staff Signature ______________________________

(Note to teacher: You have a limit of 2 TA and 2 IA’s. Please do not sign for more students than allowed.)
(Note regarding Office Assistants: There is a limit to 5 Office Assistants per period. You must be flexible with what period is needed)

Please return completed form to A-12. Students who do not return this will need to enroll in a UHS course with content.

____________________________________________________________________________________________________

Gordon Oslund, Principal

 

Eduardo Hurtado, Vice Principal

Yareli Macias, Vice Principal

Cassandra Mortier, Vice Principal