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* 1. Student Name (First & Last Name):

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* 2. Graduating Year:

Link to course descriptions: https://www.madeira.org/academics/academic-departments/

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Elective Courses for Mod 1

Elective Courses for Mod 1

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Elective Courses for Mod 2

Elective Courses for Mod 2

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Elective Courses for Mod 3

Elective Courses for Mod 3

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Elective Courses for Mod 4

Elective Courses for Mod 4

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Elective Courses for Mod 5

Elective Courses for Mod 5

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Elective Courses for Mod 6

Elective Courses for Mod 6

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Elective Courses for Mod 7

Elective Courses for Mod 7

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* 3. If any, what electives would you like to add to your schedule? A full schedule is 18 to 21 blocks.
(See the list above for options. Look at your schedule on the Student/Parent Portal to see where you have open blocks.)
Note: Electives are offered dependent on enrollment numbers. A waitlist is started when classes are full. Please list an alternative choice when selecting an elective.

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* 4. If you have selected a Studio Art course, have you taken Madeira's Studio Art: Fundamentals of Drawing prerequisite course?

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* 5. Would you like to add any extra evening academic courses to your schedule? These courses happen in the evenings outside of A-D blocks.

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* 6. Would you like to use your free period to volunteer as a tour guide for Admissions? If yes, please select your preferred mod(s). You may select more than one.

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* 7. Would you like to use your free period to volunteer as a library assistant?  If yes, please select your preferred mod(s). You may select more than one.

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* 8. Please use this space to add any additional comments or questions about your schedule.

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* 9. For seniors only
Have you selected electives that ensure that you complete the graduation requirements?

  Yes No I completed the requirement in a prior year.
Student Life Elective - 1 credit
Coding - 1 credit
Arts - 3 credits
D-BLOCK ACTIVITY
If you have not already done so, this survey gives you the opportunity to sign up for D-block activities. A waitlist is started when activities are full. Please list an alternative choice when selecting an activity. 

Enrollment in D-block activities is by seniority. If your first choice is no longer an option, the Academic Office will ask you to select an alternative activity. If you try out for a sport or theater production and do not make it, the Academic Office will work with you to find an alternative activity. Please know that selection will be limited.

Students must participate one D-block activity each season and must participate in an activity all three seasons. Two of the three seasons must be team activities. 

D-block activities meet after academic classes every day and meet for a minimum of an hour, with some activities (athletics, theater) meeting for up to two hours a day. Some activities will begin at 3 p.m. and some (Varsity athletics, for example) will begin later than that. Those in riding have individual schedules.

Sophomores, all D-block activities have been designed to work in coordination with your Co-Curriculum module.
Juniors and seniors, see the legend under the activities list for details about Co-Curriculum and activities. 

Activity descriptions: https://www.madeira.org/academics/academic-departments/activities/
Athletics: https://www.madeira.org/academics/academic-departments/athletics/

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* 10. If the D block selection on your schedule for the FALL is correct, disregard this question.
If you would like to make a change to your D-block listed on your schedule for the FALL, comment your change below.

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* 11. If the D block selection on your schedule for the WINTER is correct, disregard this question.
If you would like to make a change to your D-block listed on your schedule for the WINTER, comment your change below.

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* 12. If the D block selection on your schedule for the SPRING is correct, disregard this question.
If you would like to make a change to your D-block listed on your schedule for the SPRING, comment your change below.

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