FRESNO CITY COLLEGE
PETITION TO REPEAT A COURSE
I AM PETITIONING TO REPEAT:
COURSE t o be Repeated (e.g., PSY-2) TERM Requested (e.g., 2018 Fall)
Fall Spring Summer
Intervention Required Due to:
Attempt – Counselor Approval Only: Counseling worksheet required (prior attempt earned NP, NC, D, F, W)
or greater Attempt* OR Repeat of
successfully completed class**
STUDENT MUST SELECT ONE OF THE FOLLOWING JUSTIFICATIONS FOR REPEAT:
Previous NP, NC, D, F, W received was due to verifiable
tances (§55045). (4
or greater attempt). Verifiable
Third Party documentation of accident, illness, etc. required.
Time** A si
(3 yrs minimum).
party documentation for repeating course is
required. (Example: Recency requirement of a specific
program or change in industry related technology).
PLEASE N OTE: The grad
e received by repeating the course under any of these circumstances may
not be counted in your GPA. These 3 options require a Comprehensive Student Education
Plan ( SEP) be attached.
Student’s Signature Date
FOR OFFICE USE ONLY
Previous Petitions: YES NO Term: Verified by: STPE Code
List ALL attempts with grades and/or symbols: Fourth attempts and previous successful completion requires
Comprehensive SEP and documentation to be attached.
Has Add Slip from Instructor: SECTION #: AUTH CODE: XADD?
Sent to Counseling: Y
NO Date: Comprehensive SEP Required: YES NO
Process Date: By: STPE Code: Copy to Student Date: By:
To ASC: Date: Academic Standards Committee Designee: Date