Fillable Permission to Add After Census (Modesto Junior College)

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Permission to Add After Census (Modesto Junior College)

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The Permission to Add After Census (Modesto Junior College) form is 1 page long and contains:

  • 1 signature
  • 5 check-boxes
  • 13 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Modesto Junior College

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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:
Last Name: First Name: Middle Initial:
Student ID: w Birthdate: Phone Number:
Course Information:
Course Name & Number: Section #: Semester/ Year:
Course start date: Instructor’s Name
(please print):
04/2019_SJB
Permission to Add After Census
This form is initiated by the instructor and must have Dean’s signature before being
forwarded to Enrollment Services via inter-district mail or by email to
MJCESeForms@mjc.edu.
ENROLLMENT SERVICES USE ONLY
Sta Initials: Date: Census date: Backdated add:
REASON FOR LATE ADD: Check ONE.
Instructor/ Dean Use Only
Student’s First Date of Attendance:
APPROVED DENIED Instructor Signature: Date:
APPROVED DENIED Dean Signature: Date:
I acknowledge the late add does NOT override pre-registration holds, prerequisites, corequisites, disqualication,
unit limitation, or nancial aid obligations.
Student Signature: Date:
Pending Prerequisite Challenge, Time Conict or Third Enrollment. Attach approved form.
Student has been attending and actively participating in the class prior to census date.
Student has not been attending prior to census date.
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Permission to Add After Census (Modesto Junior College)

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Completed 4 September 2020

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