American Heritage Academy

LIFE LAB CREDIT

APPLICATION & REPORT

Name of Student _______________________________________________

Subject Area __________________________________________________
(Fine arts, humanities, religion, etc.)

Credit Title _________________________________Grade _____________

Number of credits_______

Requirements (List what the requirements are/were for this life lab. It should be specific enough that
someone else could follow your plan to get the same credit. Also specify how we know when you have
completed each requirement):

Summary & Implementation: (What I learned and how I did, what resources I used, how I
changed from my original plan, why I did this and how I felt about what I learned. Use complete sentences,
and use extra pages if necessary):

Student Signature_________________________________Date:_________

Parent Signature___________________________________Date: ________