PREREQUISITE CHALLENGE FORM
Check Appropriate College
SMCCCD
Admissions
Cañada College
4200 Farm HillBoulevard
Redwood City, CA 94061
Phone: (650) 306-3226
Fax: (650) 306-3113
Assessment Services
College of
San Mateo
1700 W.Hillsdale Blvd. San Mateo, CA 94402
Phone: (650) 574-6175
Fax: (650) 574-6587
Email: csmprereq@smccd.edu
Counseling
Skyline College
3300 College Drive
San Bruno, CA 94066
Phone: (650) 738-4318
Fax: (650) 738-4260
Complete the following information:
Student's ID# G: Fall Spring Summer Year
Last Name First Name Middle
Mailing Address:
Phone Number: Email:
DIRECTIONS TO STUDENTS:
Comple
te this Prerequisite Challenge Form for any course you want to enroll in but have not met the prerequisite through completion of a
prerequisite course or approved assessment. You must provide all required documentation as described below and any other materials that
may be specific to the challenged course.
• Attach a formal letter. Explain the reason you are challenging the prerequisite or co‐requisite and explicitly state the skills and
abilities you have that are part of the prerequisite or co‐requisite requirement. Failure to provide the detailed letter will result in denial
of your petition. This letter must accompany all petitions.
• Attach supporting documentation. A prerequisite challenge may include the following: college transcripts as evidence of successful
course completion, catalog course description, course outline and/or course syllabus, documentation of professional work experience,
relevant high school transcripts, letters of recommendation from employers or instructors, samples of graded papers, professional licenses or
certificates, a portfolio or a demonstration of prerequisite skill.
• Deadline to submit is no later than 5 working days prior to the last date to add semester‐long classes.
• Your request is our priority but due to high demand during certain times of the year, it may take up to seven working days for a request to be
processed. Incomplete forms are denied.
• Submit your COMPLETED form with ALL required documentation to the appropriate campus. (Cañada students require faculty and
Division Dean’s signature.)
Check which applies to you:
I challenge the prerequisites based on my knowledge or ability to succeed in the course despite not meeting the prerequisite.
I challenge the prerequisite on the grounds that it was established in violation of regulations.
I challenge the prerequisite because it is discriminatory or applied in a discriminatory manner.
I challenge the prerequisite on the grounds that it has not been made reasonably available.
Student Signature: Date:
Approved Denied
Faculty’s signature: Date
Approved Denied
Division Dean’s signature: Date
OFFICE USE ONLY
Processed by: Date:
PREREQUISITE I WISH TO CHALLENGE
__________________________________ ______________________ ________________________________ ________________________________________________________________
CRN PROFESSOR’S NAME Exact Course Title
Rev. 11-2016
