Fillable FillablePetitionReadmitafterDismissal9112018NB Academic Council Petition [disq]

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FillablePetitionReadmitafterDismissal9112018NB Academic Council Petition [disq]

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Student responsible for understanding information on all pages of documents. Page 1 of 2
Updated: 12.11.12 NB
Filename: OAR(\\Ishtar)/A&R Forms-Petitions/Petition-Readmit after Dismissal Please return to A&R for processing
Admissions & Records Petition
Readmission after Dismissal
_______________________________________________
Student Name
_______________________________________________
Mailing Address
_______________________________________________
City State Zip
Rec’d By:
Date:
Readmission Semester:
Fall 20
Spring 20
Summer 20
_______________________________________________
Date of Birth
_______________________________________________
SCC Email Address
______________________________________________
SCC ID#
Check here to indicate that you are appealing the requirement
of sitting out a primary semester (spring/fall) due to extenuating
circumstances.
________________________________________________
STUDENT EXPLANATION: Please include what you have changed in your situation to improve your grades; any extenuating
circumstances (i.e., accident, illness, or other circumstances beyond your control); and/or other reasons for requesting
readmission to the College. Be specific and attach supporting documents and/or additional pages. (References: Ed Code
Section 70902(b)(3); Title 5 Sections 55030-55034
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Student's Signature Date Telephone
__________________________________________________________________________________________________
COUNSELOR REVIEW:
__________________________________________________________________________________________________
__________________________________________________________________________________________________
Student sat out previous semester Y N I support this petition I do not support this petition
_____________________________________________________________________________
Counselor Signature (Required) Date
OFFICE USE ONLY
Does Banner reflect current application for admission on file? Yes No Initials_______ Date__________
VP or Designee Action: Approved Denied Initials
_______ Date__________
Student must obtain a counselor-approved academic program: Yes No Initials_______ Date__________
Comments
:____________________________________________________________________________________
______________________________________________________________________________________________________
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Student responsible for understanding information on all pages of documents. Page 2 of 2
Updated: 12.11.12 NB
Filename: OAR(\\Ishtar)/A&R Forms-Petitions/Petition-Readmit after DQ Please return to A&R for processing
Readmission after Dismissal: Information and Instructions
Student must have skipped a Spring/Fall term in order to be readmitted. If student
wishes to appeal this requirement, indicate this on Page 1 of the form.
Student should petition for readmission in advance of priority registration of the term
they wish to attend. Readmit petitions completed after the deadline will not be able to
register for classes.
If you are readmitted into a particular term that you do not register or attend class, you
must request that your readmission petition be forwarded to the next term you attend
classes.
Student’s cumulative GPA must be a 2.0 or greater by the end of the term into which
students are being readmitted. Students will be dismissed a second time unless the term
GPA is 2.25 or greater. Student will need to petition for re-admittance if the term GPA is
less than 2.25.
Instructions:
1. Complete this form
2. See a Counselor
3. Counselor will make recommendation that will be reviewed by Dean of
Counseling or designee.
4. Dean of Counseling makes final determination.
5. If approved, counseling office readmits student.
6. Counseling returns form to Admissions and Records.
7. Admissions and Records emails copy of form to student’s SCC email within ten
(10) business days.
If denied and student wishes to appeal, student should complete Appeal Petition and
submit to Counseling.
If approved, but with a unit limitation, student will not be able to register for more than
the number of units the limitation allows. If student selects a combination of classes that
have a slightly higher unit value than their approval limit, the student should visit
counseling to request an increase in allowable units.
NOTE: If you are readmitted, but choose not to attend that term, you must petition again
to be readmitted into a future term.
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FillablePetitionReadmitafterDismissal9112018NB Academic Council Petition disq

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Completed 5 November 2019

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