Fill - Free fillable AS PETITION (Cerritos College) PDF form

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CERRITOSCOLLEGE

PETITIONTOTHEACADEMICRECORDSANDSTANDARDSCOMMITTEE



Courserepetition

PLEASEPRINTCLEARLY

NAME:________________________________________________________STUDENTNO._______________________

LastNameFirstNameM.

Address:_________________________________________________________________________________________

No.andStreetCity/StateZipCode

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PhoneNo.__________________________Email________________________________________

ThisrequestisfortheCommitteetoconsider: (Pleasesubmitonepetitionpercourse)

COURSEREPETITION:Uponapproval,________________________________________________________

Themostrecentgradeandgradepoints

willbecountedincomputingCerritos____________________________________________

Collegegradepointaverage.PASTGRADE(Term/Yr)NEWGRADE(Term/Yr)

EXEMPTION–EXCESSIVEREPEATPOLICY:

Attachsupportingdocumentationandexplanation.

Ihavetakenthecourse

twiceandreceivedlettergradesof“D”and/or“F”

takenthecoursetwiceandreceived“W’s”forbothattempts

takenthecourseandreceivedbothalettergradeand“W”

Theabovestatementsdonotapply,Iwouldlikethecommitteetoconsiderthefollowing:

Pleaseattachsupportingdocumentation.

CommitteeAction:

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ApprovedDenied

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StudentSignatureDate

CourseName&No.

SemesterforApproval

CollegeOfficialDate

Comments:

Attachacopyofun‐officialtranscripts



OfficialTranscriptsareREQUIRED.

YOU ARE APPROVED TO REPEAT THIS CLASS YOU

MUST

FOLLOW THESE ENROLLMENT INSTRUCTIONS

IF you are approved to repeat this class you MUST ENROLL FOR THIS CLASS IN

PERSON.

You MUST go to Admissions in order for your enrollment to be successful.

• If the class is OPEN, Admissions will ENROLL you in the class.

• If the class is CLOSED and there is space available on the Wait List, Admissions will

place you on the WAIT LIST. You may also use MyCerritos to place your name on the

Wait List, provided space is available.

When you come to Admissions to enroll please bring:

1.) This copy of your approved petition

2.) The 5-digit class number (also called section number or ticket number)

For Waitlisted students: The auto-enroll process that moves students from the Wait List to

Enrolled status as openings occur DOES NOT WORK for you. If there is space in the class, the

ONLY WAY TO BECOME ENROLLED is with instructor consent and additional paperwork turned in

to Admissions AFTER the start of the class. This must be done

IN-PERSON IN ADMISSIONS

as it

requires a manual override of the system.

Explanation for the committee to consider:

_____________________________________________________________________

Updated DB 11/03/09

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