Fillable MATH PREREQUISITE CLEARANCE FORM YES? Complete STEP 2 (Folsom Lake College)

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MATH PREREQUISITE CLEARANCE FORM YES? Complete STEP 2 (Folsom Lake College)

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REVISED: May 2019 (Color: PINK)
MATH PREREQUISITE CLEARANCE FORM
STEP 1: Is the college and prerequisite course on the approved LRCCD External Equivalencies List?
NO? STOP! You cannot use this form. You must complete the Prerequisite Challenge Form and submit it
directly to the Math Department located in FL4-128 (on the FLC main campus).
YES? Complete STEP 2 below and submit to the Admissions & Records Office with verification.
STEP 2: Complete the information in the box below. Allow 2 business days for processing. You will be notified by
email when your prerequisite has been cleared for enrollment or if there is a problem with the prerequisite.
Student Name: Student ID number:
You will be notified via your LOS RIOS GMAIL when your prerequisite has been cleared
I WANT TO ENROLL IN THE FOLLOWING FLC COURSE? (check one)
MATH 310 MATH 335 MATH 341 MATH 343 MATH 370 MATH 400 MATH 401
MATH 402 MATH 410 MATH 420 STAT 300
THE FLC PREREQUISITE FOR THIS COURSE IS (see reverse for list):
I have completed a comparable prerequisite course from the approved LRCCD External Equivalencies List (refer to list):
College/University: Semester/Year Taken: Grade:
Course Name/Number (Ex: MATH 120) Effective Semester(s) from list:
I have received a qualifying score on an AP Exam (see reverse for scores):
Name of Exam Score
I AM ATTACHING THE FOLLOWING:
College/University transcript AP test scores (see reverse for information)
I declare under penalty of perjury that the statements and information submitted on this form are true and correct. I also understand that falsification and withholding pertinent data will
result in immediate withdrawal from a course and further disciplinary actions.
Student Signature: Date:
STAFF/COUNSELOR VERIFICATION:
Official/unofficial college transcript with course on approved list with grade of “C” or better Verified in OnBase Attached
NOTE: Please be certain comparable course was taken during effective semester(s).
Official/unofficial AP Scores (Score 3, 4 or 5): Calculus AB Calculus BC STAT Verified in OnBase Attached
Other (explain):
Example: no or expired placement, indirect prerequisite, letter from HS, approved course sub, etc. (attach documentation)
Staff/Counselor: PRINT NAME: _DATE:________________ LOCATION: FLC / EDC / RCC
EVALUATIONS USE ONLY: TRANSCRIPT: Official Unofficial AP SCORES: Official Unofficial
Transfer Credit/Milestone Posted by:____________________ Date:___________________ Student Emailed:______________________
NOTES:
REVISED: May 2019 (Color: PINK)
USING AP EXAM SCORES:
IMPORTANT: Unofficial score reports may be downloaded from the College Board’s website and submitted for a prerequisite,
but must include your first/last name, AP number, and high school. Do not just print a screen shot without your name.
HIGH SCHOOL SENIORS: The following is for fall enrollment only! If you are a senior in high school and have not yet taken the
AP Exam or your scores are not yet available, you may submit your high school transcript listing the appropriate AP Course and a
letter from your high school OR a copy of the AP Exam Registration form verifying you have or will be taking the appropriate AP
Exam. A high school transcript without a verification letter will not be accepted. You must provide your AP Scores no later than
two weeks prior to the start of the fall semester. If you fail to provide scores, you will be dropped from your course.
Summer/Spring enrollment is not permissible for this option. You must provide scores.
Calculus AB Exam:
A score of 3, 4 or 5 is equivalent to Math 400.
A score of 3, 4 or 5 would meet the prerequisite for Math 310, Math 343, Math 401 and Stat 300.
Calculus BC Exam:
A score of 3 is equivalent to Math 400.
A score of 3 would meet the prerequisite for Math310, Math 343, Math 401 and Stat 300.
A score of 4 or 5 is equivalent to Math 401.
A score of 4 or 5 would meet the prerequisite for Math 310, Math 343, Math 402, Math 410, Math 420 and Stat 300.
STAT AP Exam:
A score of 3, 4, or 5 is equivalent to Stat 300.
A score of 3, 4, or 5 would meet the prerequisite for Math 310, Math 335, and Math 343.
Additional questions? Call Admissions and Records at (916) 608-6500.
Forms and supporting documents can be scanned and emailed to: Evaluations@flc.losrios.edu
Course Prerequisites
MATH 310: MATH 120 with a “C” or better
MATH 402: MATH 401 with a “C” or better
MATH 335:
MATH 120 with a “C” or better
MATH 410:
MATH 401 with a “C” or better
MATH 343: MATH 120 with a “C” or better
MATH 420: MATH 401 with a “C” or better
MATH 350:
MATH 335 with a “C” or better
STAT 300:
MATH 120 with a “C” or better
MATH 351: MATH 350 with a “C” or better
MATH 370: MATH 335 with a “C” or better
MATH 400: MATH 370 with a “C” or better
MATH 401: MATH 400 with a “C” or better
When do I need to submit a Prerequisite Challenge Form to the Math Department?
When the college, course and/or year taken are not on approved LRCCD External Equivalencies
list. Submitting the Prerequisite Clearance Form to the Admissions & Records Office for a course
not on the approved list will significantly delay your enrollment.
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MATH PREREQUISITE CLEARANCE FORM YES Complete STEP 2 (Folsom Lake College)

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Completed 4 September 2020

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