Admissions & Records Office
11600 Columbia College Drive
Sonora, CA 95370
209-588-5337 - FAX
PASS / NO PASS GRADING
Student Name:
Date:
Student Identification “w”number:
Academic Semester & Year
Section Number (4 digit code):
Course Title (Engl 1A, Hist 17):
I have read and understand the intent, procedure and limitation outlines in the Columbia College
Catalog pertaining to this request.
Student Initials
Students Signature Admissions & Records / Date
A&R 7/09
Reset Form
This form must be received in the Admissions Office by the deadline date to file for P/NP.
w
Select Academic Semester
Select Year
Initial here
Sign here before submitting form