OFFICIAL STUDENT PETITION
Name COCC ID
Address City/Zip
Phone
COCC Email address (or other, if COCC email not known)
PETITION GUIDELINES – PLEASE READ
COCC’s registration and refund policies and deadlines are clearly communicated to students via multiple methods and it
is the student’s responsibility to ensure the accuracy of his/her class schedule each term and to comply with these
published deadlines. Being unaware of college procedures and deadlines does not constitute justification for exception
to policy. Information regarding registration policies, procedures, deadlines and changes can be found at
http://current.cocc.edu/policies.
In order for your petition to be considered, you must demonstrate that there were non-academic extenuating
circumstances beyond your control which prevented you from complying with published dates and deadlines. These may
include but are not limited to: serious injury or illness, death in the immediate family, and/or employment issues.
Supporting documentation attached to your petition as described below will not affect the time it takes to review your
petition, but will potentially decrease the time in receiving a decision on your petition.
Required Steps to completing this form:
1. Complete all sections: Class(es) involved, Reason for petition, Thorough personal statement on back explaining
why you feel petition is warranted and should be approved.
2. Attaching documentation from instructor(s) is strongly encouraged if petition is for dropping/adding/auditing
classes after the deadline to do so. This documentation is the instructor’s choice to provide. Not attending a class
does not constitute a drop.
3. Attaching documentation from a doctor, therapist or employer if petition is for medical, clinical or employment
reasons is required. If not attached to original petition, you will receive a request for this information before a
decision is made.
Incomplete or unclear petitions will be returned to you without review. Petitions are reviewed by the Petition Review
Committee within five weeks of submission. Decisions on petitions may take longer depending on research required by
the committee.
CLASS(ES) INVOLVED IN PETITION REQUEST:
Course # CRN # Term/Year:
Instructor:
Course
# CRN # Term/Year:
Instructor:
Course
# CRN # Term/Year: Instructor:
Course
#
CRN
#_
Term/Year:
Instructor:
REASON: MARK THE APPROPRIATE BOX(ES) BELOW:
Drop class(es) with no notation on transcript*
Drop class(es) with “W” grade on transcript *
Waive tuition or tuition refund**
Waive five year science requirement (Nursing)
Change to audit from credit*
Change to credit from audit*
* A written statement from your instructor(s) is strongly encouraged.
** Not attending or ceasing to attend a class does not constitute a drop. If you are petitioning for a refund of a class that you did not attend and did
not drop prior to the deadline, a written statement from the instructor is encouraged to verify non-attendance.
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