<p> FWISD Credit-by-Examination Student Form</p><p>Name of Student: ______Student ID Number: ______School Name: ______Please initial the appropriate blank and enter the exam name for one of the three options listed below:</p><p> ____ I am taking the Credit by Exam for ______for the purpose of acceleration. I have had NO prior formal instruction. I understand I must receive a score of 80% or better on any and all CBEs taken for the purpose of acceleration when there has been no prior formal instruction in order for credit to be awarded for the course. FWISD Policy EHDC (LOCAL)</p><p> ____ I am taking the Credit by Exam for ______for the purpose of acceleration. I have had prior instruction. I understand I must receive a score of 70% or better on any and all CBEs taken for the purpose of acceleration when there has been prior instruction for credit to be awarded for the course. FWISD Policy EHDB (LOCAL) Check all the boxes that describe your prior instruction: ___ Home schooling** ___ Educational Experience with Foreign ___ Correspondence course** Language ___ Independent study supervised by a teacher or parent** ___ Other, please describe ______** (Documentation must be attached, which includes the name of course and provider, course syllabus, dates of instruction; and/or completed course grade report.)</p><p> ____ I am taking the Credit by Exam for ______for the purpose of retrieving a course previously attempted. I understand I must score 70% or better on any and all CBEs taken for the purpose of retrieval when there has been prior instruction for credit to be awarded for the course. FWISD Policy EHDB (LOCAL)</p><p>Sign: ______Student Signature and/or Parent Signature Date: ______Date of Exam ______Counselor Verifying Documentation:______</p><p>Complete a separate form for each test and retain the signed form in the student’s file. If credit should be awarded, an update for course credit must be reflected on the student’s Academic Achievement Record.</p><p>Exam Score: ______Date CBE Academic Record updated:______Counselor: ______</p><p>Advanced, Accelerated, and Innovative Learning Guidance & Counseling Student Assessment Curriculum & Instruction Revised August 2013</p><p>A-14 </p>