707.256.7
200
Please print clearly. All blanks must be filled-in for this form to be considered.
Fall Spring Summer Year ________
NVC Student ID#
(7 digit number assigned by the college for identification)
Student Name: _______________________________________________________________
First MI Last
Email: ______________________________________________ (please print clearly)
I have completed the prerequisite course(s) at ____________________________________ High School / College / University
(Documentation must be attached) (Circle One)
THIS FORM MUST BE SUBMITTED TO THE OFFICE OF A&R TO BE PROCESSED FOR REGISTRATION IN THE COURSE(S) BELOW AT LEAST
7 to 10 BUSINESS DAYS PRIOR TO THE TIME OF THE STUDENT’S REGISTRATION PRIORITY OR AT THE TIME OF REGISTRATION
PRIORITY. YOU WILL BE NOTIFIED BY EMAIL ONCE THE PETITION HAS BEEN PROCESSED.
Equivalent Course(s) completed at another institution
(Documentation Attached)
Course name and #
SAMPLE (Class you wish to be
enrolled in)
CHEM 110
SAMPLE (NVC prerequisite class
requirement)
MATH 94
SAMPLE (Class from official/unofficial transcript that
satisfies the NVC prerequisite)
MATH 1A
Please note: You should remain an active class participant, pending the outcome of this Petition. If your Petition is denied, you will be dropped
from the course and you should not continue to attend class.
Fee refunds are automatic unless you enroll in another class.
Refer to the Fees & Refunds Schedule for complete information on refunds.
_________________________________________________ ____________
Student Signature Date
For Admissions & Records Office Use Only Approved Denied
Reason for Denial:
____________________________________________________________________________________________________________________________________
Evaluator signature ________________________________________________ Date ________________________________
If approved, this equivalency has been cleared for online registration; student may use WebAdvisor to enroll for this class.
Recommend to challenge at General Counseling Department.
High School Students must register in person and submit a Prerequisite Equivalency Petition with supporting documentation
at that time, if needed.
If not approved, student will be dropped from the course, if registered.
Please note that this is not an official course evaluation. This approval is for pre-requisite purposes only. For official evaluation,
please initiate this process with the counseling office.
Prerequisite Equivalency Petition
Admissions and Records
2277 Napa-Vallejo Highway, Napa, Ca. 94558
Emailed student update: _________________________
YOUR PETITION WILL NOT BE ACCEPTED OR PROCESSED WITHOUT SUPPORTING DOCUMENTATION.
Such documentation can be an official or unofficial copy of your academic transcript. All documentation must include the students name and the
name of the institution as part of the document. After processing the petition, an email will be sent to you with a status update.
