Admissions & Records Office
3095 Yerba Buena Road San Jose Ca 95135
408.270.6423 office / 408.223.9351 fax / email@example.com
Pass / No Pass Option Form
Student ID or Last 4 SSN ___________________ Telephone___________________
Last Name ________________ First Name _____________________ Date of Birth ____________
PASS / NO PASS OPTION (Current Term Only)
I am requesting to take the following course(s) as Credit/No Credit. This means that I
receive a letter grade. I am aware that this course will NOT calculate into
my G.P.A. I am also aware
that after the published deadline for the given semester, I
will not be able to alter this grade or the
requested grading option.
LETTER GRADE OPTION (Current Term Only)
I am requesting to take the following course(s) for a letter grade. This grade WILL
calculate into my
G.P.A. I am also aware that after the published deadline for the
given semester, I will not be able to
alter this grade or the requested grading option.
Student Signature Date
The course must be listed with a Pass/No Pass option in the catalog (O)/schedule (+).
These courses may count toward satisfactory completion of an AA/AS Degree.
These courses shall be used in calculating probation and/or dismissal status.
The student must submit this form to the Admissions Office on/or before the 4
Friday of the regular semester; the
the mini-semester; or the 1
Friday of the summer session.
Individual transcripts will reflect only a “P” or “NP”.
WARNING: Four-year colleges typically DO NOT accept transfer credit for courses taken with a
grade. If you are planning to transfer this course(s), you should check
with a counselor before you select your
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