Fillable Course-substitution-form PCC Student Request for Course Substitutions

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Course-substitution-form PCC Student Request for Course Substitutions

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The Course-substitution-form PCC Student Request for Course Substitutions form is 1 page long and contains:

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  • 33 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Pasadena City College

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__________________________________________________________________________________ _____________________________
____________________________
__________________________________ __________________________________ __________________________________
__________________________________ __________________________________ __________________________________
__________________________________ __________________________________ __________________________________
__________________________________ __________________________________ __________________________________
__________________________________ __________________________________ __________________________________
PASADENA CITY COLLEGE
Student Request for Course Substitutions
Date:________________________ E-Mail (required):________________________________________
Name: Last First MI LancerCard ID No.
__________________________________________________________________________________
(______ )____________________
Address: Street City State Zip Telephone Number
Please send official, sealed transcripts from other institutions (if applicable) to
PCC Records Office 15 business days before filing this form.
Birthdate
q
Official Transcript already submitted
Also, please attach copies of applicable course descriptions or other relevant course outlines.
Course(s) completed at PCC or other institutions to be substituted for
the Certificate of Achievement in: ____________________________________________________________________
REQUIRED PCC PCC OR NAME OF COURSE TITLE / NUMBER
COURSE TITLE/NUMBER: OTHER INSTITUTION: AT PCC OR OTHER INSTITUTION:
Division / Department Recommendation:
q
Grant
q
Deny
Comments:
Signature: ___________________________________ Print Name: _________________________________ Date:____________
Petition Committee Action / Response Area Only:
q
Grant the following
q
Grant as requested
q
Deny
Comments:
Date: __________________ Signature: _______________________________
ADM243 9/19
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Course-substitution-form PCC Student Request for Course Substitutions

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Completed 25 January 2020

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