Fillable Fillable Enrollment Priorities Petition

Fill Online, Printable, Fillable, Blank Fillable Enrollment Priorities Petition Form

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Fillable Enrollment Priorities Petition

On average this form takes 9 minutes to complete

The Fillable Enrollment Priorities Petition form is 1 page long and contains:

  • 2 signatures
  • 12 check-boxes
  • 22 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Mission College

BROWSE MISSION COLLEGE FORMS

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Enrollment Priorities Petition
Name
ID#
First
MI
Address
Phone
Date of birth
State
Zip
Email
Educational Plan Complete
Yes
No
Attach a copy
Program of Study
Reason for de-prioritization: Factors that support restoring your registration priority:
(Check all that apply.)
More than 100 units completed High unit major (greater than 40.0 units)
Academic or progress probation Disability related accommodations
Academic or progress dismissal Final semester, Ed Plan is complete
Do not meet the criteria for de-prioritization (error)
Successful completion of a college success class
Demonstrated one or more semesters of successful academic performance
Verified and non-reoccurring extenuating circumstances
Based upon the boxes checked above, explain in greater detail what happened. Attach any pertinent supporting
documentation.
Student Signature Date
Approved Denied Registration date
Staff Signature Date
Comments
Instructions DEADLINE: 15 days from the day you were notified of your registration date.
• Complete the form. (Do not leave any blank answers.)
• Attach supporting documentation that would be helpful in reviewing your case.
• Submit completed form to the Admissions & Records Office.
• You may appeal your enrollment priority date only once per term.
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Fillable Enrollment Priorities Petition

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Completed 5 January 2020

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