Fillable MATH ENGLISH (Sacramento City College)

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MATH ENGLISH (Sacramento City College)

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  • 48 check-boxes
  • 19 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Sacramento City College

BROWSE SACRAMENTO CITY COLLEGE FORMS

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Complete separate forms for English and Math
Name:
Phone: Date:
Student ID Number:
Received by/Date
:__________
Student Signature:
Date:
A&R or Department Use Only
Request for re-evaluation:
APPROVED DENIED
Reviewer’s Signature/Date:
__________________________________________
This form allows students who enrolled at Sacramento City College prior to the Fall 2018 semester to have their initial
English or mathematics placements reevaluated using their high school GPA and course information. Students currently
in progress within the Los Rios Community College District and who graduated high school within the last seven (7)
years are eligible for this consideration. An official or unofficial copy of your high school transcript is required. Foreign
transcripts are not eligible for this process. Forms should be submitted to Admissions & Records in the Student Services
Building. Students can view their new placement(s) in eServices on the Steps to Success panel within 48 hours.
I have completed an English or math assessment in the Los Rios Community College District:
I have completed the following SCC course:
Provide a high school transcript to verify the information provided below.
Complete applicable fields below. For placement re-evaluation in mathematics complete the attached CCCApply form.
I graduated from high school in the United States within the last seven (7) years
Yes
No
Summer Fall Spring
I declare that the information submitted on this form is true and correct. I understand that all material and information
submitted by me for the purpose of verifying course placement, which the college has deemed to be valid and necessary
for success in a course, become the property of Sacramento City College and are subject to audit.
Course Name/Number (Ex: ENGWR 300, MATH 100)
HS GPA
State
PLACEMENT RE-EVALUATION PETITION FOR:
ENGLISH
MATH
click to sign
signature
click to edit
Pre-algebra or lower
Algebra 1
Integrated Math 1
Integrated Math 2
Geometry
Algebra 2
Integrated Math 3
Statistics
Integrated Math 4
Trigonometry
Pre-calculus
Calculus or higher
None of the Above / Don't Know
Section G: High School Transcript Information
Highest English Course Taken
Please indicate the highest
English course you took in
high school.
Grade Point Average: What was your high school GPA (grade point average)? Please enter a value between 0.00
and 4.00 in the adjacent box. If you are still in high school, enter your cumulative GPA as of the end of 11th grade. If
unsure, please estimate.
No
Yes
Description
Title of Highest Courses Taken and Passed
What grade did you receive?
Choose from drop down menu.
12th grade Advanced Placement (AP) English Composition or Literature
12th grade Honors English Composition or Literature
12th grade English Composition or Literature
11th grade Advanced Placement (AP) English Composition or Literature
11th grade Honors English Composition or Literature
11th grade English Composition or Literature
10th grade (or lower) English Composition or Literature
Highest Math Course Taken
Please indicate the highest
Math course you took in
high school.
If you are currently enrolled in
high school, this would typically
be in 11th grade or earlier.
None of the Above / Don’t Know
Pre-algebra or lower
Algebra 1
Integrated Math 1
Integrated Math 2
Geometry
Algebra 2
Integrated Math 3
Statistics
Integrated Math 4
Trigonometry
Pre-calculus
Calculus or higher
None of the Above / Don't Know
Highest Math Course Passed
Please indicate the
highest Math course you
passed with a Pass, C-, or
better grade, in high
school.
If you are currently enrolled in
high school, this would
typically be in 11th grade or
earlier.
Completed 11th Grade? If you are in high school (or lower grade), please indicate if you have completed 11th grade,
otherwise skip to Grade Point Average.
45.
46.
Place an "X" in the box to the right to make your selection.
.
Page 7 of 10
If you are currently enrolled in
high school, this would typically
be in 11th grade or earlier.
College staff use this information to provide guidance. Your responses will not affect your admission to college.
Check
box
Please select grade:
Please select grade:
Please select grade:
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MATH ENGLISH (Sacramento City College)

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Completed 5 September 2020

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