Revised 4/4/18 SCC A&R Document #0006 Page 1 of 1
PETITION TO WAIVE A MAJOR REQUIREMENT
STUDENT:
1. Complete this petition (only one waiver per petition).
2. Attach supporting documentation.
3. Submit petition and supporting documentation to the department
which oversees the major which this waiver would be used.
This petition is valid for 5 years, and it is valid only for the catalog year and major which you list below.
This course is required for the Major in ________________________________ for Catalog Year ________.
_________________________ ______________________ _____________________ ______________________
First Middle Last Student ID #
_________________________________________ ______________________ __________ _________________
Address City State Zip
_________________________________________________________ ______________________________
E-mail Address Phone
I petition to waive the following course: _______________________________________________________.
Course required at Santiago Canyon College
JUSTIFICATION (State specific facts for circumstances to be considered by the Department Chair/Dean.)
__________________________________________________________________________________________________
__________________________________________________________________________________________________
____________________________________________________________________ ____________________
Student Signature Date
This petition is valid for 5 years, and it is valid only for the catalog year and major listed above.
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: __________________________________________________________________________________________________
___________________________________________________________________________________________________________
This will be used for:
Associate Degree (AA/AS)
Associate Degree for Transfer (AA-T/AS-T)
Certificate of Achievement
Certificate of Proficiency
OFFICE USE ONLY:
Student Notified: Date____________________ Method____________________ Initials___________
Colleague Entry:
Date____________________ Method____________________ Initials___________
click to sign
signature
click to edit
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