101 W. 29th Street Anderson, IN 46016 | P: (765) 649-8472
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Anderson Preparatory Academy
Course Request Application
Today's Date:
Cadet Name:
Grade Level
Name of Requested Course:
Which part of the school year is this request for?


Teacher recommendation: Please name the teacher who will recommend and verify that you would be a strong candidate for this course. (Note: Teacher recommendation must be from a teacher in the subject area of the course you're requesting to take, and this recommendation will be verified by the Counselor or Director of Academic Programs. )
Because of the rigor and independent work ethic required to take on a course independently, the following criteria must be met. By checking each box, you are agreeing that you will follow these guidelines.







In detail, please describe why you are qualified to take this independent study course and what strategies are you going to use to be successful in this course?
By typing your name in the box below you are agreeing to the above listed criteria and expectations set forth for this independent course. Please sign by typing your first and last name:

To validate your submission, please answer the following math problem:

3 + 8 =
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Anderson Preparatory Academy

101 W. 29th Street
Anderson, IN 46016
Phone: (765) 649-8472
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Anderson Preparatory Academy | 101 W. 29th Street | Anderson, IN 46016 | Phone: (765) 649-8472
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