Policy 2460F1 - Extended Learning Opportunities Application Form

Extended Learning Opportunity (ELO) Application 

(For Student-Initiated Requests for Credit) 

SECTION 1 — Student Information 

Student Name: _________________________________________ 
Grade Level: __________________ 
Date of Application: __________________ 
Student Email (optional): __________________________________ 
Parent/Guardian Name: __________________________________ 
Parent/Guardian Email: __________________________________ 
Parent/Guardian Phone: __________________________________ 

SECTION 2 — Type of Application 

☐ Pre-Approval (Before the ELO Begins) 
Application submitted at least 10 days prior to the start date. 

☐ Post-Approval (After the ELO Has Begun or Ended) 
Application submitted within 10 days of the completion date. 

SECTION 3 — Description of Proposed Extended Learning Opportunity 

Supervising Organization / Business / Group: 
Organization Contact Person: 
Name: _____________________________________ 
Phone/Email: _____________________________________ 

Title / Name of Activity: 

 

Location of Activity (Address): 

 

Start Date: ___________________________ 
End Date: _____________________________ 
Total Estimated Hours of Participation: ___________________________ 

Describe the activity in detail, including what the student will do and how learning will occur: 

______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 

SECTION 4 — Idaho Content Standards or College/Career Readiness Competencies 

The application must demonstrate alignment to: 

  • Idaho Content Standards and/or 
  • Idaho College and Career Readiness Competencies & Subskills 

Identify the specific standards or competencies this ELO will address (attach additional pages if needed): 

 

 

If attaching documentation or standards crosswalk, check here: ☐ Yes ☐ No 

SECTION 5 — Learning Objectives & Outcomes 

List 3–5 measurable learning objectives the student will master through this ELO: 

  1.  
  2.  
  3.  
  4.  
  5.  

Describe how mastery will be demonstrated (portfolio, supervisor evaluation, project, journal, skills demonstration, etc.): ______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 

SECTION 6 — Supervision & Safety 

Supervisor Name (on-site): ________________________________ 
Supervisor Title/Role: ____________________________________ 

The supervising organization must provide: 

  • Adequate program supervision 
  • Compliance with all applicable laws (including child labor and safety) 

Describe how the student will be supervised during the ELO: 
______________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ 

SECTION 7 — Transportation & Costs 

RISE Charter School does not charge fees for credit ELOs. 
Students/parents are responsible for: 

  • Costs associated with participating in the ELO 
  • Transportation to/from the ELO site (unless otherwise arranged by the School) 

Does the ELO require any fees or tuition? 
☐ No 
☐ Yes → Not permitted under RISE Charter School policy 

Transportation Plan: 
_________________________________________________________________________________________________________________________________________________________________________________________________ 

SECTION 8 — Student and Parent Commitment 

The student is responsible for: 

  • Maintaining academic standing 
  • Completing the ELO as approved 
  • Submitting progress documentation upon request 
  • Meeting mastery expectations 

Failure to complete the ELO may result in no credit or a failing grade. 

Student Statement: 
I understand my responsibilities and agree to meet the expectations of this Extended Learning Opportunity. 

Student Signature: ____________________________________ Date: ____________ 

Parent/Guardian Statement: 
I grant permission for my child to participate in this Extended Learning Opportunity and understand the responsibilities described in the policy. 
 
Parent/Guardian Signature: _____________________________ Date: ____________ 

SECTION 9 — Required Attachments 

Before review, the following must be attached: 

☐ Description of ELO 
☐ Standards alignment or competency alignment 
☐ Supervisor information and safety plan 
☐ Any additional documentation requested 

 

RISE CHARTER SCHOOL —  
OFFICE USE ONLY 

Applications are reviewed by the Executive Director or designee and other staff as needed. 
A decision will be issued within 10 days of receiving a complete application. 

Date Application Received: ____________________________ 
Deadline for Decision: ________________________________ 

Reviewed by (names/titles): 

 

Decision 

☐ Approved as Submitted 
☐ Approved with Modifications 
☐ Denied (reason provided below) 

Reason/Notes: 

 

 

 

 

Credit Determination (circle all that apply): 

  • Core Credit (Subject: ____________________) 
  • Elective Credit 
  • Elementary Mastery Credit 
  • Other: ___________________________________ 

Number of Credits to Be Awarded: ______________________ 

Documentation Required for Completion: 
☐ Supervisor evaluation 
☐ Portfolio 
☐ Skills demonstration 
☐ Attendance/progress log 
☐ Other: __________________________________________ 

Executive Director / Designee Signature: 
_________________________________________ Date: ____________ 

 

Completion Verification (To be completed after ELO ends) 

 ☐ Student successfully completed the ELO 
☐ Credit awarded and posted to transcript 
☐ GPA calculation updated (if applicable) 
☐ Documentation filed in student record 

Verified By: __________________________________ Date: ____________ 

 

Policy History: 

Adopted on: January 26, 2026 

Revised on: 

Reviewed on: