Fillable Appeal for Loss of Priority Registration (Modesto Junior College)

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Appeal for Loss of Priority Registration (Modesto Junior College)

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Appeal for Loss of Priority Registration
Emailed forms must be submitted with your MJC Student Email, otherwise they will not be
processed. Submit completed form by email to MJCESeForms@mjc.edu.
Today’s Date: Appeal Term/Year:
Student Information:
Last Name: First Name: Middle Initial:
Student ID: w Birthdate: Phone Number:
Students who have lost priority registration may submit an appeal to request reinstatement based on one or more of the
following reasons: Extenuating Circumstances, a student with a disability applied for, but did not receive, timely reasonable
accommodation, academic or progress improvement, or earning 100 or more MJC degree- applicable semester units.
Important Information Regarding MJC’s Appeal for Loss of Priority Registration
You will receive an email response indicating the outcome of your petition. Please note that, in order to receive priority
registration for the next semester, your petition must be submitted by:
Summer 2020: April 3, 2020 Fall 2020: May 29, 2020 Spring 2021: November 6, 2020
Documentation must include:
• Copy of Comprehensive Education Plan (within 1 year)
• Typed/written statement
• Supporting documentation
Check all that apply
Over 100 Units (100.5 MJC degree-applicable units or above): Enrollment in high unit major or program.
Major: Estimated Graduation Date:
Extenuating Circumstances: To be considered, you must provide veried evidence of illness, accident or
circumstances beyond the students control. Documents such as medical documents, death certicates, court
summons or military orders.
Academic and/or Progress Improvement: To be considered, you must provide evidence of improvement. By
demonstrating successful completion of 12 semester units with at least a 3.0 GPA; 18 units with at least
a 2.5 GPA; or 24 units with at least a 2.0 GPA.
Veried Disability: To be considered, students with a veried disability who applied before the deadline,
but did not recive an accomodation in a timely manner, must provide documentation which supports your
claim. Documents such as statements from counselors or professionals on letterhead stationary.
*I belong to one or more of the following MJC Programs: Homeless/Foster Youth CalWORKS EOP&S
DSPS Veterans
I have provided all supporting documents needed to submit this petition. I understand if no documents are provided, it may result in a denial of my appeal. I declare under
penalty of perjury that all information on this form is true and correct. I also understand I have read the process, conditions and deadlines on the reverse side of this form.
Student Signature: Date:
Oce Use Only
Designee Signature: Approved Denied No Action Date:
Petition Committee Review Committee Signatures:
Comments:
Sta Initials: Date: Registration Level: Rec. via Stdnt Email: Posted: Student Notied:
MJC Enrollment Services • 435 College Avenue, Student Services Bldg. 1st Floor • Modesto, CA. 95350 • Phone (209)575-6853
04/2020_SJB
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Appeal for Priority Registration Process Instructions
LOSS OF PRIORITY REGISTRATION:
The California State Legislature per Title 5 Section 58108, requires colleges to adopt registration priorities based on factors such
as units completed, academic standing, and other consideration. Students who have lost priority registration may appeal to have
it reinstated based on Extenuating Circumstances, a student with a disability applied for, but did not receive, timely reasonable
accommodation, academic or progress improvement, or earning 100 or more MJC degree-applicable semester units. If the
request is granted, it does not guarantee enrollment in specic courses.
Please note: being approved for priority registration will automatically grant BOG reinstatement. However, approved BOG appeals
do not automatically grant priority registration.
Submit the completed appeal form to Enrollment Services with all the supporting documentation that is indicated on the form
based on your appeal reason (Appeal form, typed narrative, comprehensive education plan, and supporting documentation). Any
missing information may result in your appeal being denied.
Appeal Process
1. Complete the front of this appeal form-choose which circumstances you are appealing.
2. Include a typed statement explaining your situtation.
3. Include any documentation to verify your circumstances such as a doctor’s note, job loss document, etc.
4. Include an Education Plan (wihin 1 year).
5. Submit this form and your supporting documentation to the Enrollment Services Oce.
6. You will be notied of the results via email after Registration dates have been posted.
Please note : If approved, your priority level will be reinstated at same level prior to losing priority. Approval does not guarantee
enrollment in specic courses.
04/2020_SJB
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Appeal for Loss of Priority Registration (Modesto Junior College)

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Completed 4 September 2020

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