Los Angeles Community College District
Loss of Enrollment Priority and/or BOGW Fee Waiver Appeal
Last Name: ________________________ First Name: __________________________ Student ID# _________________
LACCD Email: __________________________________________________ Phone: ( ____) ____________________
ALL APPEALS MUST INCLUDE THE FOLLOWING, along with the required documents, below:
A typed explanation of your situation AND an approved, current LACCD Comprehensive Educational Plan (2+
semesters)
Enrollment Priority Appeal Reasons (check one)
Academic/Progress Probation - Extenuating Circumstances: verified illness, accident or circumstance beyond the control the
student. (Examples of documentation are doctor’s notes, accident report, etc.)
I am making significant academic improvement by completing my last semester with a 2.00+ GPA, and have completed more
than 50% of my semester coursework.
I am a student with a verified disability who applied before the deadline but did not receive an accommodation in a timely
manner (Attach verification of disability document from DSP&S).
I am a Foster Youth or Former Foster Youth who qualifies for an exemption from both loss of Enrollment Priority and loss of
BOG waiver (Written verification from Foster Youth Program must be attached).
Loss of BOGW Fee Waiver Appeal Reasons (check one)
Academic/Progress probation - Extenuating Circumstances: verified illness, accident or circumstances beyond the control of the
student or other circumstances that might include documented changes in the student’s economic situation.
(Examples of documentation are doctor’s notes, accident report, loss of job, etc.)
I ha
ve been making significant academic improvement by completing my last semester with a 2.00+ GPA, and have completed
more than 50% of my semester coursework.
I am a
student with a verified disability who applied for but did not receive an accommodation in a timely manner. (Attach
verification document from DSP&S)
I wa
s unable to obtain essential support services. (Attach a written statement detailing the circumstances)
I am requesting special consideration as a student in one of these programs: (Attach written verification of program
participation) CalWorks DSP&S EOPS Veterans
I hav
e not enrolled at LACCD for two consecutive semesters (fall/spring) since I became ineligible for my BOGW Fee waiver.
(Attach unofficial transcript)
I declare under penalty of perjury that all information on this form is true and correct. I understand that this appeal is void should I fail to make academic progress.
Student Signature: ____________________________________ __ ____ Date:_______________ __________
OFFICE USE ONLY
Committee Review Date:
Committee Recommendation: Approved Denied Semester GPA Cumulative GPA
Support Services/Follow up Recommended:
Authorized College Official Signature: _______________________________ ____ Date:___________________ _
07-01-2016
Loss of Enrollment Priority and/or BOGW Fee Waiver Appeal (cont’d.)
EXPLANATION: LOSS OF PRIORITY REGISTRATION and LOSS OF BOARD OF GOVERNORS (BOG) FEE WAIVER
Per Title 5, Section 58108 Regulations of the California Community College System, your calculated academic
standing will affect your assigned registration date for future semesters. A second consecutive term (fall/spring
semesters) on academic or progress probation will result in the loss of continuing student priority registration. This
will also apply to any student over 100-unit limit (excluding non-degree applicable and ESL courses and high-unit
majors over 60 units). Loss of registration priority means you will register after all continuing and new students,
possibly losing your opportunity for the courses you need to complete your educational goal.
Students who continue on a second consecutive term (fall/spring semesters) on academic or progress probation will
also lose their BOG Fee Waiver.
Instructions
1. Completely fill out the information on the front of this form.
2. Attach all required documentation. At minimum you must include a copy of your Comprehensive Education
al
P
lan, a narrative explaining the basis of your appeal, and required documentation for your specific situation.
3.
Forward your application and supporting documents to your college’s Admissions and Records office. Retain a copy for
your files.
4. Appeals may be submitted electronically
5. Any missing information will result in your Enrollment Priority/BOG Fee Waiver Appeal form being rejected by
the Appeals Committee.
Student Check List
Before submitting this form, review the following:
I have completed the reverse side of this form
I have attached all requested documentation
I must bring this completed form and support documentation to my counseling appointment
I understand that any missing information will result in my appeal being delayed or disapproved
I understand that processing time may take up to 10-15 working days
Appeals forms and required documentation must be received by your college’s Admissions and Records
office by the college’s established deadline. For more information, please contact your college
Admissions and Records office.
T
he following colleges accept electronic submission:
Los Angeles City College:
admissions@lacitycollege.edu
Los Angeles Trade Technical College: appeals@lattc.edu
Los Angeles Valley College: petitionscommittee@lavc.edu
West Los Angeles College: appeals@wlac.edu
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