Westwood High School

APPLICATION FOR JUNIOR LUNCH PRIVILEGE

2017
Student's Name_________________________________ Student's ID#____________________
Parent's Name__________________________ Parent's Phone #_________________________
Parent's E-mail Address_________________________________________
Students Vehicle Information: Make ______________ Model_______________ Year_______
Color _________________

WHS Parking Tag # _______________________

Criteria for Junior Lunch Privilege and Verification: (Must obtain signatures for
verification)
Must have a 77 or better for SEMESTER grades in all classes ________Students Counselor
In good standing regarding school attendance _________________ Students Counselor
In good standing regarding discipline and tardies ______________ Students Administrator
Current with all school fees ________________ T. Monroe
*JUNIOR LUNCH PRIVILEGE WILL BEGIN ON JANUARY 17, 2017*
NOTE: It is the responsibility of any student driving off campus for lunch to ensure that those
riding with him/her are eligible to leave as well. Any student taking an ineligible student off
campus for lunch will lose his/her parking privileges for the remainder of the year and both
students will be subject to further disciplinary action. If a student does not have a Junior
Lunch Privilege ID, he/she is not eligible to leave. In addition, if any eligible student is
repeatedly late to 5 period because of this privilege, it will result in loss of the junior lunch
privilege.
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I am requesting that my student's application be reviewed for approval to leave Westwood High
School Campus during his/her scheduled lunch. I understand that this privilege will be subject to
review at three-week intervals. I understand that approval of my student's application does not
guarantee a parking space at Westwood High School.
I am giving permission for my student to leave campus during lunch whether he/she is riding with
another student, driving him/herself, or walking off campus.
________________________________
_____________________
Parent Signature/Daytime Ph. # (Required)
Date
________________________________
____________________
Student Signature (Required)
Date
---------------------------------------------------------SCHOOL USE ONLY:
Approved by___________________
Dated notified parent____________

Disapproved by_________________

NOTE: This is an application only. You must be approved before you

can leave campus for lunch. Any student leaving campus without a
Junior Lunch Privilege sticker on his/her ID will be denied the
privilege and subject to additional discipline, including the loss of
parking privileges.

Parent's Name of who was notified____________________________________________________

NOTE: This is an application only. You must be approved before you

can leave campus for lunch. Any student leaving campus without a
Junior Lunch Privilege sticker on his/her ID will be denied the
privilege and subject to additional discipline, including the loss of
parking privileges.