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HISD Distinguished Level of Achievement (DLA) Requirements for Personal Graduation Plan (PGP) For Students Entering 9th Grade in or after 2014-2015 It is the policy of the Houston Independent School District not to discriminate on the basis of age, color, handicap or disability, ancestry, national origin, marital status, race, religion, sex, veteran status, political affiliation, sexual orientation, gender identity and/ or gender expression in its educational or employment programs and activities. Student ID _________ First Name: ___________________________ Last Name_____________________________________ Campus:______________________ 9 th Grade Entry Year __________ Date Initiated ___________ Date Amended_________ Endorsement selections include: Arts & Humanities (AH), Business & Industry (BI), STEM (S), Public Service (PS), and Multi-Disciplinary Studies. English 1 or SOL 1 English 2 or SOL 2 English 3 Advanced English Algebra 1 Geometry Algebra 2 Advanced Math The importance of a High School graduation plan that includes one or more endorsements and the distinguished level of achievement and the importance of Post-Secondary Education, automatic college admission and eligibility for financial aid have been explained to me. Student Signature______________________________ Parent Signature________________________________ Counselor/ Administrator Signature ________________________ ____ Foundation 22 ____ Distinguished 26 _____ See IEP 1 ST Year 2 nd Year Elective Elective Algebra 1 Geometry Math Models Algebra 2 World Geography World History US History Government Economics Chemistry Physics Advanced Science Fine Arts PE (elective) Health Grade Pathway Courses Completion MS A B 9TH A B 10TH A B 11TH A B 12TH A B Student has ARD/IEP to support exit. Yes No Student has submitted an Opt-Out of Endorsement form signed by parent or guardian. Yes No English: 4 Whole Credits LOTE: 2 Whole Credits Math: 4 Whole Credits Math: 4 Whole Credits OR Science: 4 Whole Credits Social Studies: 4 Whole Credits No Math Models after Algebra 2 PE Health: 1 PE, 0.5 Health Fine Arts: 1 Whole Credit Career & Technical Education Other Electives CTE AND /OR Other Electives: 5.5 Total Credits Combined Endorsement 1: 4 Whole Credits Select one: AH__ BI__ S__ PS __ Endorsement 2: 4 Whole Credits Select one: AH__ BI__ S__ PS__ Multi- Disciplinary Studies Endorsement: 4 Whole Credits My Post High School plans are to: (Select all that apply) Post-Secondary Testing: (Select all that apply) My Graduation Plan Type is: IPC does NOT count as Advanced Science Career & Technical Education Pathway Sequence ALL courses in the CTE pathway sequence should be listed ___ Two Year College ___ Four Year College ___Employment ___Military ___Other____________________ ____PSAT ____TSI ____SAT ____ACT ____Other_________________ ___ IPC can NOT be taken after Chemistry My Career Interest: _____________________________________________________ Endorsement: BI__ S__ PS__

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Page 1: HISD Distinguished Level of Achievement (DLA) …...HISD Distinguished Level of Achievement (DLA) Requirements for Personal Graduation Plan (PGP) For Students Entering 9th Grade in

HISD Distinguished Level of Achievement (DLA) Requirements for Personal Graduation Plan (PGP)

For Students Entering 9th Grade in or after 2014-2015

It is the policy of the Houston Independent School District not to discriminate on the basis of age, color, handicap or disability, ancestry, national origin, marital status, race, religion, sex, veteran status, political affiliation, sexual orientation, gender identity and/ or gender expression in its educational or employment programs and activities.

Student ID _________ First Name: ___________________________ Last Name_____________________________________

Campus:______________________ 9th Grade Entry Year __________ Date Initiated ___________ Date Amended_________

Endorsement selections include: Arts & Humanities (AH), Business & Industry (BI), STEM (S), Public Service (PS), and Multi-Disciplinary Studies.

English 1 or SOL 1

English 2 or SOL 2

English 3

Advanced English

Algebra 1

Geometry

Algebra 2

Advanced Math

The importance of a High School graduation plan that includes one or more endorsements and the distinguished level of achievement and the importance of Post-Secondary

Education, automatic college admission and eligibility for financial aid have been explained to me.

Student Signature______________________________ Parent Signature________________________________ Counselor/ Administrator Signature ________________________

____ Foundation 22 ____ Distinguished 26 _____ See IEP 1ST Year

2nd Year

Elective

Elective

Algebra 1

Geometry

Math Models

Algebra 2

World Geography

World History

US History

Government

Economics

Chemistry

Physics

Advanced Science

Fine Arts

PE (elective)

Health

Grade Pathway Courses Completion MS A B

9TH A B

10TH A B

11TH A B

12TH A B

Student has ARD/IEP to support exit. Yes No

Student has submitted an Opt-Out of Endorsement form signed by parent or guardian.

Yes No

English: 4 Whole Credits LOTE: 2 Whole Credits

Math: 4 Whole Credits Math: 4 Whole Credits

OR

Science: 4 Whole Credits Social Studies: 4 Whole Credits

No Math Models after Algebra 2

PE Health: 1 PE, 0.5 Health

Fine Arts: 1 Whole Credit

Fine Arts: 1 Whole Credit

Fine Arts: 1 Whole Credit

Fine Arts: 1 Whole Credit

Career & Technical Education

Career & Technical Education

Career & Technical Education

Career & Technical Education

Other Electives

Other Electives

Other Electives

Other Electives

CTE AND /OR Other Electives: 5.5 Total Credits Combined

CTE AND /OR Other Electives: 5.5 Total Credits Combined

CTE AND /OR Other Electives: 5.5 Total Credits Combined

CTE AND /OR Other Electives: 5.5 Total Credits Combined

Endorsement 1: 4 Whole Credits Select one: AH__ BI__ S__ PS __

Endorsement 2: 4 Whole Credits Select one: AH__ BI__ S__ PS__

Multi- Disciplinary Studies Endorsement: 4 Whole Credits

My Post High School plans are to: (Select all that apply)

Post-Secondary Testing: (Select all that apply)

My Graduation Plan Type is:

IPC does NOT count as Advanced Science

Career & Technical Education Pathway Sequence

Career & Technical Education Pathway Sequence

Career & Technical Education Pathway Sequence

Career & Technical Education Pathway Sequence

ALL courses in the CTE pathway sequence should be listed

ALL courses in the CTE pathway sequence should be listed

___ Two Year College ___ Four Year College ___Employment ___Military ___Other____________________

____PSAT ____TSI ____SAT ____ACT ____Other____________________

IPC can NOT be taken after Chemistry

My Career Interest: _____________________________________________________

Endorsement: BI__ S__ PS__

Page 2: HISD Distinguished Level of Achievement (DLA) …...HISD Distinguished Level of Achievement (DLA) Requirements for Personal Graduation Plan (PGP) For Students Entering 9th Grade in

Student EOC Scores by Subject (Record highest score per subject)

Algebra 1 English 1

Biology English 2

US History

Parent Contact Documentation

Attempt 1

Date of Contact Reason for Contact

Type of contact

Name of campus counselor or administrator Attempting contact

Reason for change in student PGP

Name of parent / guardian contacted

Result of attempt to contact

Attempt 2

Date of Contact Reason for Contact

Type of contact

Name of campus counselor or administrator Attempting contact

Reason for change in student PGP

Name of parent / guardian contacted

Result of attempt to contact

Attempt 3

Date of Contact Reason for Contact

Type of contact

Name of campus counselor or administrator Attempting contact

Reason for change in student PGP

Name of parent / guardian contacted

Result of attempt to contact

Attempt 4

Date of Contact Reason for Contact

Type of contact

Name of campus counselor or administrator Attempting contact

Reason for change in student PGP

Name of parent / guardian contacted

Result of attempt to contact