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