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March 2020
Concurrent Enrollment/College Now! Appeal
Valid only for requested semester/term
If you believe that the matriculation procedure or service is being applied in a discriminatory manner, an appeal may
be filed. On the second page of this form, please write a descriptive statement explaining the reason for your appeal.
Attach a copy of your high school transcript and AHC transcript (if applicable) and any pertinent documentation to
support your request as to why you wish to take a course(s) at AHC. A letter of recommendation from a high school
administrator or high school counselor is highly recommended.
Procedure:
1. Complete this appeal form (you must also submit the Concurrent Enrollment/College Now! Petition for
Enrollment and a copy of your HS transcripts.)
2. Submit completed form to the office of the Dean, Student Services by the scheduled deadline. Refer to the
counseling website under “Important Dates”.
3. Notification: Students will be notified via emai of the decision by the office of the Dean, Student Services. The
review process takes up to 5 working days. (If you do not hear from the Counseling Department within 5
working days, you may call 805 922 6966 ext. 3293 to determine the outcome of your appeal.)
4. If approved, you will be cleared to enroll.
TO BE COMPLETED BY THE STUDENT (please print clearly using dark ink and do not leave any section blank):
_____________________________________________ _____________________________________________
Full Name Student Signature and Current Date
H___________________________________________ _____________________________________________
AHC Student ID# Semester Student is Requesting Appeal
_____________________________________ ______________________________________
Personal E-mail Account Student’s 10-digit Phone Number
Matriculation procedure or service being appealed: Check the option(s) that applies to you.
AHC Grade Point Average (GPA); if approved, students may take a maximum of 6 units per semester.
Excess Units: If approved, how many total units for the semester are you requesting: _________
(if approved for 12 or more units, the enrollment fee is no longer waived, and all fees are applicable)
List ALL requested courses for the semester in which you are enrolling:
____________________________ ____________ _____________________________ ____________
Course Name (i.e. ENGL 101) Units Course Name (i.e. ENGL 101) Units
____________________________ ____________ _____________________________ ____________
Course Name (i.e. ENGL 101) Units Course Name (i.e. ENGL 101) Units
Appeal and required signatures continue on back
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March 2020
Student Name: ___________________________________ AHC Student ID Number H_______________________
Signatures Required:
_____________________________________________ _____________________________________________
Parent/Guardian Signature and Date Approved High School Administrator Signature and Date
To be completed by the student.
Write a detailed statement explaining why it is important to approve this appeal. Do not leave blank. (you may use
additional paper if necessary)
TO BE COMPLETED BY THE DEAN OF STUDENT SERVICES/ COUNSELING:
Approved Denied
Comments:
__________________________________________________ ___________________________________
Signature, Dean of Student Services or designee Date
FOR AHC OFFICE USE ONLY:
Student Notified: __________________ Appeal Entered: ___________________
Date & Initials Date & Initials
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