PETITION FOR PASS/NO PASS GRADING
NAME__________________________________________________ DATE______________________
Last First MI
ADDRESS___________________________________________________________________________
Street City Zip Code
Student ID Number__________________________
I request Pass/No Pass grading for the following course:
_______________________ _____________________________
Course Code Course
____________________________
Semester and Year
I understand and agree to all of the following:
1. Thi
s grading request is final. It may not be reversed. I may request this option for one course per semester.
2. Selecting this grading option may affect the transferability of the course to a university. I have consulted a
counselor before selecting this option.
3. Grades of A, B, and C will be recorded on my permanent record as P (Pass).
4. Grades of D and F will be recorded as NP (No Pass).
5. Units attempted for this option are not computed in the grade point average, but are used for determining Progress
Probation and Progress Dismissal. Financial Aid eligibility may be affected.
6. A maximum of 15.0 units under this grading option may be applied toward the Associate in Arts or Science
degree. A maximum of 25% of required units for certificates may be completed as “Pass/No Pass”.
7. Petitions for this option must be filed with the Admissions Office by the published deadline dates in the CRC
Class Schedule.
8. I SHOULD RETAIN THE STUDENT COPY FOR MY RECORDS.
Student Signature__________________________________
Processed______________________________
Staff Initials and Date
White: Admissions Yellow: Student
REA 2-8-12
Once the form is completed, you may send to admissions@crc.losrios.edu from your Los Rios email account.
