Julian Charter School Acknowledgement of Responsibilities  
Student's Agreement: 
● I voluntarily request participation in this independent study program and have read  and understand the terms of the master agreement.  
● I will complete all assignments given to me during the time this agreement is in  effect by the due date stated on the Assignment and Work Record (AWR).  ● I will organize my work for the JCS Independent Study Teacher to see and discuss  when we have meetings.  
Parent/Legal Guardian's Agreement I agree to the above conditions listed under  "Student's Agreement". I also understand that:  
● I am responsible for evaluation of daily work and will ensure that my child  understands material before continuing on to the next topic.  
● In the event that my child or I need help with understanding or completing an  assignment, I will contact the independent study teacher.  
● If I become aware of special or extenuating circumstances that will prohibit my  student from turning in the assigned work by the due date, I will contact the  Independent Study Teacher prior to the due date to make alternative  arrangements.  
● I understand that it is my responsibility to provide any needed transportation for  my child's scheduled meetings at a mutually agreed upon location reflected on the  face of this agreement and that lack of transportation is not an acceptable reason  for failing to meet with the Independent Study Teacher. I have the right to appeal  any decision about my child's placement in accordance with the school’s policies  and procedures.  
Please read each statement and initial your understanding:  
_______I understand that meeting dates and times should be changed only in the case of  an emergency.  
_______I understand that if a meeting date is postponed, interim assignments are  required.  
_______I understand that course assignments and monthly assignments are based on  information I have provided on the enrollment form, and that incorrect information may  jeopardize my child's enrollment in the school, and may negatively affect graduation  status.  
_______I understand that my child may not be enrolled at another school, either full or  part time, while enrolled at JCS.  
JCS Independent Study Teacher Agreement  
● will assign a body of work to be completed during the duration of the master  agreement. 
● will evaluate work in a timely manner  
● will contact the family to ensure that progress is being made in assignments.  ● will notify the student and parent/legal guardian of the academic credit granted for  work completed.  
Signatures and Dates: 
I have read and I understand the terms of this agreement, and agree to all provisions set  forth: 
Student: _____________________________________________ Date: ____________ Parent/Guardian/Caregiver: ______________________________ Date: ____________ Supervising Teacher: ___________________________________ Date: ____________