Individualized Learning Plan Online Form: Individualized Learning Plan "*" indicates required fields 1Student Information2Credits3English Courses4Math Courses5Science Courses6Elective Courses7Social Science Courses8Additional Information9Preview Student InformationStudent Name* Date of Birth*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year202420232022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Grade* Home School* Counselor Name* Counselor PhoneLength of Placement* Total Elective Credits to be selected by student:* CreditsCredits to Date* Credits to be attempted at Premier* Credits required for Graduation* Length of Placement* English Courses*Please mark all courses/semesters the student should complete while at Premier. If remediation in reading, writing, or math is provided, elective credit will be issued. EnglishENG120 - English I Semester 1 Semester 2 ENG120: Credit ENG220 - English II Semester 1 Semester 2 ENG220: Credit ENG320 - English III Semester 1 Semester 2 ENG320: Credit ENG420 - English IV Semester 1 Semester 2 ENG420: Credit ENG122 - Speech Semester 1 ENG122: Credit Middle School Language Arts 6, 7, 8 Semester 1 Semester 2 MS Lang Arts: Credit English AlternativesENG102 - Lit & Comp I Semester 1 Semester 2 ENG102: Credit ENG104 - Lit & Comp II Semester 1 ENG104: Credit Math Courses*Please mark all courses/semesters the student should complete while at Premier. If remediation in reading, writing, or math is provided, elective credit will be issued. MathMAT098 - Pre Algebra Semester 1 Semester 2 MAT098: Credit MAT100 - Algebra I Semester 1 Semester 2 MAT100: Credit MAT200 - Geometry Semester 1 Semester 2 MAT200: Credit MAT300 - Algebra II Semester 1 Semester 2 MAT300: Credit MAT306 - Math Mdls/Apps Semester 1 Semester 2 MAT306: Credit MAT400 - Pre-Calculus Semester 1 Semester 2 MAT400: Credit Middle School Math 6, 7, 8 Semester 1 Semester 2 MS Math: Credit Math AlternativesMAT310 - Financial Math Semester 1 Semester 2 MAT310: Credit Science Courses*Please mark all courses/semesters the student should complete while at Premier. If remediation in reading, writing, or math is provided, elective credit will be issued. ScienceSCI110 - Environmental Science Semester 1 Semester 2 SCI110: Credit SCI120 - Earth Science Semester 1 Semester 2 SCI120: Credit SCI126 - Physical Science Semester 1 Semester 2 SCI126: Credit SCI200 - Biology Semester 1 Semester 2 SCI200: Credit SCI300 - Chemistry Semester 1 Semester 2 SCI300: Credit SCI400 - Physics Semester 1 Semester 2 SCI400: Credit Middle School Science 6, 7, 8 Semester 1 Semester 2 MS Science: Credit Elective Courses*Please mark all courses/semesters the student should complete while at Premier. If remediation in reading, writing, or math is provided, elective credit will be issued. ART120 - Intro to Art Semester 1 ART120: Credit ART124 - Art History Semester 1 Semester 2 ART124: Credit BUS114 - Info Tech Apps Semester 1 Semester 2 BUS114: Credit MIS100-400 - Life Skills* Assigned by Premier Academy Semester 1 Semester 2 MIS100-400: Credit MIS122 - Strat Acad Succ Semester 1 MIS122: Credit MIS302 - Career Planning / Development Semester 1 MIS302: Credit MIS642 - Personal Finance Semester 1 MIS642: Credit PHD080 - Jr. High Physical Education Semester 1 Semester 2 PHD080: Credit PHD100 - High School Physical Education Semester 1 Semester 2 PHD100: Credit PHD126 - Foundations for Personal Wellness Semester 1 Semester 2 PHD126: Credit PHD128 - Healthy Living Semester 1 PHD128: Credit PHD130 - Lifetime Fitness Semester 1 PHD130: Credit PHD200 - Health Semester 1 PHD200: Credit PHD300 - Contemporary Health Semester 1 PHD300: Credit Social Science Courses*Please mark all courses/semesters the student should complete while at Premier. If remediation in reading, writing, or math is provided, elective credit will be issued. Social ScienceHIS100 - Human Geography Semester 1 Semester 2 HIS100: Credit HIS200 - World History Semester 1 Semester 2 HIS200: Credit HIS220 - Civics Semester 1 HIS220: Credit HIS300 - US History I Semester 1 Semester 2 HIS300: Credit HIS400 - US Government Semester 1 HIS400: Credit HIS430 - IL Consumer Economics Semester 1 Semester 2 HIS430: Credit Middle School Social Studies 6, 7, 8 Semester 1 Semester 2 MS Soc. Studies: Credit Constitution Test Semester 1 Semester 2 CONST: Credit Social Science AlternativesHIS102 - Sociology Semester 1 HIS102: Credit HIS340 -US History II Semester 1 Semester 2 HIS340: Credit HIS480 - Psychology Semester 1 Semester 2 HIS480: Credit Life Skills courses will be provided to every Premier Academy student; if credits are earned they will appear on student’s progress report. HS Constitution tests will be administered when student is assigned Civics or Government, unless otherwise indicated by their home school.Additional InformationDoes this student have an IEP or 504?* Yes No Which do they have? IEP 504 Does this student need community service hours?* Yes No How many community hours?* Does this student need to return for any exams this year?* Yes No Test* Date MM slash DD slash YYYY Is this student's Drivers Ed complete?* Yes No Where can student fulfill Drivers Ed req? Does the student need to complete their FAFSA?*12th Grade Students Only Yes No Does the student intend to participate in grad ceremony?*12th Grade Students Only Yes No Deadline to have courses complete Comments {all_fields:nohidden}
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