Fillable Form 1.: *If you are requesting a disability-related (Santa Barbara City College)

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Form 1.: *If you are requesting a disability-related (Santa Barbara City College)

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SUBSTITUTION/WAIVER PETITION OF GRADUATION REQUIREMENTS
Page 1 of 2
Rev. 3/10/2021
*If you are requesting a disability-related accommodation for course substitution/waiver, contact
Disability Services and Programs for Students (DSPS) for consultation. To schedule an appointment to
meet with a DSPS Specialist, please call (805) 730-4164 or visit SS-160.
1.
Complete Step 1 of the petition. If substituting coursework from another college,
official transcripts must submitted to SBCC.
2.
Review the petition with an SBCC Academic Counselor to verify your catalog rights
for the program requirements for which a substitution or waiver is being requested.
Note: Counselor verification of catalog rights is not an inferred or explicit
endorsement of the substitution/waiver petition.
3.
Submit the petition to the Chairperson of the department offering the course for
which the substitution is requested (PART B of the petition) or for which the waiver
is requested. In some cases, this may be the same department offering the program
of study (#4 below).
4.
Submit the petition to the Chairperson of the department offering the program of
study for which you are applying. For programs of study within Liberal Studies or
General Education, obtain the signature of the Dean, Educational Programs (SS-260)
in lieu of Department Chair signature.
5.
SUBMIT THE COMPLETED PETITION TO ADMISSIONS & RECORDS, SS-110 OR
EMAIL TO DIPLOMAS@SBCC.EDU
INCOMPLETE PETITIONS WILL NOT BE PROCESSED.
All substitution and waiver approvals by Department Chairs are subject to Department,
District, State, and Accreditation policies and standards.
To petition Information Competency Requirements (Area F), use the Information Competency
Petition Form at http://sbcc.edu/studentservices/informationcompetency/
Instructions for Completing this Petition*
SUBSTITUTION/WAIVER PETITION OF GRADUATION REQUIREMENTS
Page 2 of 2
Rev.3/10/2021
STEP 1: COMPLETED BY STUDENT
STEP 2: COMPLETED BY COUNSELOR*
STEP 3: COMPLETED BY DEPARTMENT CHAIR(S)
If you are requesting a disability-related accommodation for course substitution/waiver, contact
Disability Services and Programs for Students (DSPS) for consultation. To schedule an appointment to meet
with a DSPS Specialist, please call (805) 730-4164 or visit SS-160.
Student ID K
Email @pipeline.sbcc.edu
Last Name First Name
Substitution Request: If substituting coursework from another college, official transcripts must be submitted to SBCC.
PART A PART B
Substitute Course & Number
Units
Term
Grade
For SBCC Course/Requirement
Example: MAT 121
3 S20 A SBCC
GDP 230
Waiver Re
quest
Note: Students must complete a minimum of 18 semester or 27 quarter units in a program of study for an associate degree. Do not
request a substitution and a waiver for the same course(s).
Waive Reason
Waive Reason
Catalog Year:
e.g. 2020-2021
Program Type (Check all that apply to petition): AA AS Certificate Skill Comp Award Department Award
Program of Study:
e.g. Health Information Technology. Use a separate petition for each program of study.
Name of Department Chair offering COURSE (PART B or Waiver)
Signature
Date
Name of Department Chair offering PROGRAM OF STUDY
Signature
Date
OFFICE USE ONLY: Approved Denied
Exception Applied Date
Initials
Counselor:
Code: Date:
*Counselor verification of catalog rights is not an inferred nor explicit
endorsement of petition.
Planned General Education pattern (AA/AS only):
SBCC GE IGETC CSU GE Breadth
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Form 1.: *If you are requesting a disability-related (Santa Barbara City College)

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Completed 29 June 2022

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