Fillable Alternative Class Request - REQUEST FOR ALTERNATE CLASS SITE

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Alternative Class Request - REQUEST FOR ALTERNATE CLASS SITE

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ApprovedbyAdminCouncil
September4,2012
REQUESTFORALTERNATECLASSSITE
Requestsforstudentstomeetatanalternatesite,duringregularscheduledclasstime,mustbe
approvedbythedivisionDean.Alternatelocationsaresitesotherthanpostedintheprintedclass
scheduleorConnectColumbiaandmustbewithinDistrictboundaries.Facultyandstaffarenot
permittedtotransportstudentsintheirpersonalvehicles.Formmustbecompletedandsubmitteda
minimum1‐weekpriortorequested change.
InstructorName:____________________________________________________________
CourseTitle:_______________________________________SectionNumber: _________
DateChangeRequested: ___________________________________________________
ChangeMeetingSiteFrom: ___________________________________________________
To: ___________________________________________________
ReasonForChange:
___________________________________________________________________________
___________________________________________________________________________
Instructor:_____________________________________ ________________________
SignatureDate
DeanApproval:
_____________________________________________
Name&Title
______________________________________________ ________________________
SignatureDate
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YosemiteCommunityCollegeDistrict
Cities/TownswithinDistrictBoundaries
StanislausCounty TuolumneCounty
Oakdale Sonora
Riverbank TwainHarte
Modesto Columbia
Turlock Jamestown
Ceres Standard
Keyes Groveland
Denair Jacksonville
Grayson LongBarn
Westley ChineseCamp
Patterson Soulsbyville
CrowsLanding Moccasin
Newman BigOakFlat
Waterford MiWukVillage
Hickman Confidence
LaGrange Stent
Empire Tuttletown
Hughson TuolumneCity
Salida DodgeRidge
KnightsFerry
ValleyHome CalaverasCounty
Altaville
MercedCounty AngelsCamp
Gustine Arnold
Hilmar Avery
Stevenson CampConnell
LosBanos Copperopolis
Mariposa Dorrington
SantaNella DouglasFlat
HathawayPines
SanJoaquinCounty Murphys
Ripon Vallecito
SantaClaraCounty
NoTowns,JustMountains
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Alternative Class Request - REQUEST FOR ALTERNATE CLASS SITE

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Completed 18 April 2020

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