Rev. September 2014
This will be use for:
Associate Degree
AA-T/AS-T Degree
Certificate of Achievement
Certificate
of Proficiency
PETITION TO
SUBSTITUTE
Major Requirements
STUDENT:
1. Complete this petition (one form per course substitution)
2. Attach supporting documentation (both course description and course syllabus are required). Official transcripts
must be on file with Admissions and Records.
3. Submit petition and supporting documentation to the Graduation Office/Admissions Office at Santiago Canyon College.
This petition is valid for 2 years, and it is valid only for the catalog year and major which you list below.
_________________________________________________________ ________________________
First Middle Last Student ID
____________________________________________________ ______________________
Address City St Zip Phone
____________________________________________________
E – mail Address
______________________________________ ___________
Major Catalog Year
Substitute:
I hereby petition to substitute the following course: __________________________________________ with the
Course required at Santiago Canyon College
following course: _________________________________________________________________________ from
Course Number and Title
____________________________________________________. Units________ Grade ________
Name of College/University where course was taken
Rational for this request: ___________________________________________________________________________
__________________________________________________________________________________________________
________________________________________ ________________
Student Signature Date
FOR OFFICE USE ONLY
This petition has been reviewed by the Graduation Specialist. The decision is indicated below.
Graduation Specialist: ___________________________________ Approved / Needs further review Date: ________________
Comments: ___________________________________________________________________________________________________
This petition has been reviewed by the appropriate department and division. The decision is indicated below.
Department Chair: ________________________________________ Approved / Denied Date: ________________
Division Dean: ____________________________________________ Approved / Denied Date: ________________
Comments: _________________________________________________________________________________________________
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