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FOURTH ATTEMPT PETITION
Last Name First Name Middle Initial
IT IS VERY IMPORTANT THAT YOU READ ALL INFORMATION CAREFULLY BEFORE COMPLETING
THIS FORM
:
Fourth Attempt Petition – A student may repeat a course in which substandard grades (“D”, “F”, “NCR” and
“NP”) and/or non-evaluative symbol of “W” were awarded, provided they have not already attempted the same
course three times. A student may repeat the course one more time (four times total enrollment) upon approval
of a filed petition documenting extenuating circumstances. LACCD Board Rule 6701.10
Extenuating Circumstances – “Extenuating circumstances are verified cases of accidents, illness, or other
circumstances beyond the control of the student.” LACCD Board Rule 6704.10 A
Filling Periods -
● Spring Semester: October 1 to December 21
● Fall Semester: April 1 to June 21
Complete for the course and semester in which you wish to enroll:
Spring ______
Fall _______
Third Course Repeat Petitions will be accepted for Spring/Fall
semesters only.
Required steps and documentation (Incomplete petitions will not be accepted)
Step 1 – Complete the reverse side of this form and attach any supporting documentation to substantiate
extenuating circumstances.
Step 2 – Attach a current Comprehensive Student Educational Plan (SEP)
Step 3 – Your petition will be reviewed. A decision notification will be emailed to your LACCD email the
week before the start of semester.
Step 4 - If you are approved, you are allowed to register in-person only during the first week of the
semester. Bring your permission number (required) and the approval email notice to the Admissions Office
counter for processing. No priority enrollment will be given.
