LOS RIOS COMMUNITY COLLEGE DISTRICT
Advanced Education Petition
The rules for enrollment in Advanced Education classes were written to help create a learning environment that
would promote the success of all students. If you believe that your circumstances substantially warrant your
enrollment as an Advanced Education student even though your enrollment would run contrary to carefully developed
rules, please complete this petition form.
Student’s Name: Last: First: MI
Los Rios Student ID# Phone
(Day) (Evening)
Which of the following Advanced Education rule(s) is your petition related to? (Check all that apply)
Course
GPA
Other
Explain clearly and thoroughly the circumstances that support your petition in the space below. Use the back of
this form if needed.
Student’s Signature Date
Please attach any documents that support your petition.
Please submit the signed petition to the Dean of Student Services via email: crc-advanceded@crc.losrios.edu.
You will receive a written response and/or a meeting will be scheduled with you within one week.
[For Office Use Only]
Approved Denied
VP, Student Services or Designee Signature Date