MJC Enrollment Services Phone (209)575-6853
EAST 435 College Avenue, Student Services Bldg. 1st Floor WEST 2201 Blue Gum Ave, Yosemite Hall 1st Floor
Today’s Date:
Student Information
First Name: Middle Initial: Last Name:
Student ID: w Birthdate: Phone Number:
Course Information
Course Name: Section #:
Semester/Year: Summer Fall Spring
I hereby SELECT the Pass/No Pass grading option for the class indicated above.
I hereby RESCIND my original request for the Pass/No Pass option for the above class.
By signing below you agree to the following statements:
1. I understand this option will not be honored if the class shown above is not oered under a Pass/No Pass option.*
2. I understand this selection may NOT be changed after the rst 30% period of the class (see class schedule).
3. I understand the P/NP symbol may not be petitioned later to be changed to a letter grade.*
4. I further understand the instructor will not be notied of this action.
5. I am aware that courses graded on a Pass/No Pass option indicate a “P” grade is earned with a “C” or better.
6. I am aware that 14 units is the maximum number of units that can be taken on a P/NP (including credit/no credit option).
7. I understand if I plan to transfer, transfer institutions often do not accept P/NP grades in a student’s major. The college
recommends that courses in the major be taken for a letter grade. You should also verify this with the institution you are
transferring to.
Student Signature: Date:
04/2020_SJB
Pass/No Pass Grading Request
EMAILED FORMS MUST BE SUBMITTED WITH YOUR MJC STUDENT EMAIL. Submit
completed form by email to MJCESeForms@mjc.edu
OFFICE USE ONLY
Pass/No Pass Deadline Date: ID Veried
Sta Initials: Date: Comments:
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