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HKA Student-Initiated Course Challenge Assessment - Exhibit 1


Name of Student Grade
Date of Application Student I.D.
Name of course to be challenged

Course previously challenged:

Course Date Mark

Previous courses taken in this subject area:

Course Year Mark %
Course Year Mark %
Course Year Mark %

Note: If previous courses taken at a different school, documentation must be provided.  e.g. Report Cards.

Explain why you want to challenge this course:


Explain how you have acquired the expected knowledge, skills and attitudes for the course you wish to challenge.

Recommendation from the last teacher whom you had in this subject.




Teacher Signature

Date Approved



Student Signature

Date Approved



Parent/Gaurdian Signature

Date Approved



For Office Use Only


Application:

Approved

or

Rejected



Principal or Designate Signature

Date Approved

     

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