Request for FE Hours by External Activity

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Request for CTE Credit Hours
by Approved External Activities

Student Information

Student Name

Student grade - Student School - Subdivision

Activity Details

Date of Activity

Start Time

End Time

How many hours are you requesting to be credited?

Description of the Activity

What concentrations are you requesting credit in?

Concentration Name

Skills, Tasks, or Standards during the activity :

Other

You must include a flier for the posting of the activity:

Activity Documents

Upload any documents showcasing the students work for the activity.

Supervisor of Activity

Supervisor's First Name

Supervisor's Last Name

Supervisor's Title

Supervisor's Phone Number

Supervisor's Email

Supervisor will be emailed to electronically sign this request.

Supervisor's Signature

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Request for CTE Credit Hours
by Approved External Activities

Student Information

Activity Details

Activity Documents

Supervisor of Activity

Assignment Title

Assignment directions

#)

REQUIRED

text directions

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| Enter Answer here |

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Request for CTE Credit Hours by Approved External Activities

Student Information

Activity Details

Activity Documents

Supervisor of Activity

Assignment Title

Assignment directions

#)

REQUIRED

text directions

[spacer]

| Enter Answer here |

[spacer]

Request for CTE Credit Hours
by Approved External Activities