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CCLossOfBOG - CC Loss Of Enrollement

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

Note:FosterYouthandFormerFosterYouth(uptoage24)areexemptfromlossofbothpriorityregistrationandBOGFeeWaiverperregulation



LastName:____________________FirstName:_________________________StudentID#:______________

CCEmail:____________________________________________Phone#:(_____)‐______‐_______________



Minimumdocumentsthatmustbeincludedwiththisformaswellasthoseidentifiedbelow:



Atypednarrativeofyoursituation

AcurrentapprovedColumbiaCollegeComprehensiveStudentEducationalPlan.

Ihavecompletedthefollowing(provi dedatecompleted):

OrientationDate:__________AssessmentTestingDate:_________



EnrollmentPriorityAppealReasons:(checkatleastone)



Academic/ProgressProbationExtenuatingCircumstances:verifiedillness,accidentorcircumstancebeyondthecontrolofthe

student.(Examplesofdocumentationare:Doctor’snotes,accidentreport,etc.)



Ihavebeenmakingsignificantacademicimprovementbycompletingmylastsemesterwitha2.00+GPAandcompleted

morethan50%ofmysemestercoursework.(AttachProbationContract)



Iamastudentwithaverifieddisabilitywhoappliedbeforethedeadlinebutdidnotreceiveanaccommodationinatimely

manner(attachverificationofdisabilitydocumentfromDSP&S).



LossofBOGFeeWaiver:(checkatleastone)

Academic/ProgressprobationExtenuatingCircumstances:Verifiedillness,accidentorcircumstancesbeyondthecontrolof

thestudentorothercircumstancesthatmightincludedocumentedchangesinthestudent’seconomicsituation.(Examples

ofdocumentationaredoctor’snotes,accidentreport,lossofjob,etc.)



Ihavebeenmakingsignificantacademicimprovementbycompletingmylastsemesterwitha2.00+GPAandcompleted

morethan50%ofmysemestercoursework.



Iamastudentwithaverifieddisabilitywhoappliedbeforethedeadlinebutdidnotreceiveanaccommodationinatimely

manner(attachverificationofdisabilitydocumentfromDSP&S).



Therewasachangetomyeconomicsituation.(Pleaseprovideawrittenstatement).



Iamastudentinoneoftheseprograms(circleallthatapply).TheAppealCommitteewillcheckwitheachcircledprogram

foranyspecialconsideration:

CalWORKsEOPSDSP&SVeteransTRIOAthleticsPetitionedtoGraduate

IhavenotenrolledatCCfortwoconsecutiveprimarysemesters(fall/spring)sinceIbecame

ineligibleformyBOGFeeWaiver

(attachunofficialCCtranscript).







Loss of Priority Registration and/

or 

BOG Fee Waiver Appeal

Thisformistoappealyourenrollmentpriorityand/orlossofBOG



FeeWaiver

Ideclareunderpenaltyofperjurythatallinformationonthisformistrueandcorrect.IunderstandthatthisappealformisvoidshouldIfailtomakeacademic

progress.



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





OFFICEUSEONLYLevel(circleone):1234

Approved Denied________SemesterGPA SemesterCompletionRate  

SupportServices/Follow‐upRecommended:

              

VicePresidentofStudentServicesSignature:Date:  

     



LossofPriorityRegistrationand/orBOGFeeWaiverAppealProcessInstructions 



LOSSOFPRIORITYREGISTRATION:

PerTitle5,Section58108RegulationsoftheCaliforniaCommunityCollegeSystem,yourcalculatedacademicstandingwillimpact

yourassignedregistrationdateforfuturesemesters.Asecondconsecutiveprimaryterm(fall/springsemesters)onacademicor

progressprobationwillresultinthelossofcontinuingstudentpriorityregistration.Thiswillalsoapply

toanystudentover100‐unit

limit(excludingnon‐degreeapplicableandESLcourses).Thismeansyouwouldregisterafterallcontinuingandnewstudentsthereby

possiblylosingyouropportunityforthecoursesyouneedtomeetyoureducationalgoal.

LOSSOFBOARDOFGOVERNORSFEEWAIVER(BOG):

Pleasebeawareastudentthatcontinuesonasecondconsecutiveprimaryterm(fall/springsemesters)onacademicdismissalor

progressprobationwillresultinthelossoftheBOGFeeWaiver.

1. Completethestudentinformationpartofthisappealformandattachatypednarrativeofyoursituationandanupdated

EducationalPlan.IfyoudonothaveanEducationalPlanonfile,oritneedstobeupdated,makeanappointmenttoseea

counselor.(IfyouareFosterYouthyouareexemptedfromthisprocess.PleasecontactAdmissions&Records.)



2. Ifyouarerequestinganappeal

forAcademic/ProgressProbationduetoExtenuatingCircumstancessuchasverifiedillness,

accidentorcircumstancesbeyondyourcontrol,ordocumentedchangesinyoureconomicsituation,attachyoursupporting

documentation.(Supportingdocumentationincludesdoctor’snotes,accidentreport,lossofjob,etc.) 



3. SubmitthecompletedAppealformtoAdmissions&Records

Officewithallofthesupportingdocumentationthatisindicatedon

theformbasedonyourappealreason(AppealForm,typednarrative,EducationalPlan,andsupportingdocumentation).Any

missinginformationwillresultinyourEnrollmentPriority/BOGFeeWaiverAppealformbeingrejectedbytheAppealCommittee. 



AllAppealformsanddocumentationmustbereceivedbyAdmissions&Records

beforetheestablishedduedate.Planningaheadisveryimportant!



DueDates:

LossofPriorityRegistrationAppeal:DueMondaybeforethePriorityRegistration

date.

LossofBOGFeeWaiverAppeal:DuebyfirstFridayoftheSemester.



REV:06/2016

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CCLossOfBOG - CC Loss Of Enrollement

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Completed 11 March 2020

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