Holland Christian Schools

Student name:

Parent name(s):

Parent Email:

Phone:

Name of person completing this form:

Important Note:

Students attending North Shore or South Shore Middle Schools should submit course requests via
PowerSchool. Others should use this form.

Please read the materials in the 9^th grade packet before completing the form below.

Thank you,

Norm Hoekstra, registrar

Math Choice: Integrated Math 1 or Integrated Math 2
(or Fundamental Integrated Math 1 if recommended by ESS)

Science Choice: Earth Science + Conceptual Physics
(or Chem 1 + Bio 1 if recommended by the GATES director
for test-out option)

Elective Choices (4 semesters):

Alternates: