Valley College
S a n B e r n a r d i n o
High School Concurrent Enrollment Petition
r Fall r Spring r Summer 20 ______ High School _____________________
Last Name ________________________________ First ______________________ MI ____________
Address _________________________________________ SBVC ID#___________________________
City _______________________________________ State _______ ZIP ____________ Age _______
Ref# Course Name Section Day(s) Time Units
4356 English 101 06 MWF 10 - 10:50 4
I understand that the courses listed above are for College Credit, and that enrollment at SBVC creates a permanent record that must be reported to
any colleges I apply to in the future. I agree to abide by all rules and regulations set forth in the SBVC Catalog. I also understand that my enrollment at
SBVC will be limited to no more than 11 units per semester, in compliance with Education Code 76001, d.
Signature of Student _____________________________________________ Date __________________ Phone ___________________________
I support this request on the part of my child to attend SBVC. I understand that the courses are for College Credit, and that college courses may contain
content adult content. I understand and agree that my child is subject to the rules and regulations of SBVC as listed in the College Catalog. I also agree
to be responsible for any and all fees incurred by my child in the enrollment process. I am aware that I will not have the right to access my child’s college
records without his/her written consent or a court order.
Signature of Parent/Legal Guardian ___________________________________ Date __________________ Phone _________________________
Pursuant to Education Code 48800, I have reviewed the academic record of this student and certify that s/he demonstrates adequate preparation in
the discipline to be studied and has the ability to benet from college instruction in the courses listed, and if a summer student, s/he has exhausted all
opportunities to enroll in equivalent courses, if any, at his or her school of attendance. For any particular grade level, I certify that I am limiting the number
of recommendations to no more than 5 percent of the total number of pupils who completed that grade immediately prior to the time of recommendation
for this summer session. An ofcial transcript is attached to this petition.
Signature of Principal or Designee __________________________________ Date __________________ Phone ___________________________
r You must take the College Assessment Test - the results will determine
Approved Denied your eligibility for this class.
Comments _________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
President or Designee ___________________________________________ Date ________________
Factors considered in this decision:
r Academic GPA
r Grades in prior classes
r Test Scores
r Recommendations
r Other
COURSES
STUDENT
PARENTPRINCIPALCOLLEGE USE
r Freshman r Sophomore
r Junior r Senior
San Bernardino Valley College
