Fillable Petition For Enrollment Into A Class (Spokane Community College)

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Petition For Enrollment Into A Class (Spokane Community College)

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PETITION FOR ENROLLMENT IN A COURSE IN
EXCESS OF TWO ATTEMPTS
SPOKANE COMMUNITY COLLEGE
SPOKANE FALLS COMMUNITY COLLEGE
Note: Requests for exceptions to enroll will only be considered for enrollment if submitted by the second day
of the quarter and processed no later than the end of the first week of the quarter.
TO BE COMPLETED BY THE STUDENT
(Use the back of this page if additional space is needed)
Student Name:
Student ID Number:
Email Address:
COURSES TO BE REPEATED
CREDITS
TIME
INSTRUCTOR
1) What specific factors do you believe prevented you from being successful in this course?
2) Which campus resources will you access to help ensure you are successful in this course? Are there any
additional resources we can assist you with accessing?
3) What additional steps will you take to assist you in meeting your goal to successfully complete this course?
REPEAT SUCCESS CONTRACT
SPOKANE COMMUNITY COLLEGE
SPOKANE FALLS COMMUNITY COLLEGE
TO BE COMPLETED WITH A COUNSELOR or FACULTY ADVISOR
Please schedule an appointment with a Counselor or your Faculty Advisor
4) What is your proposed course schedule for the coming quarter?
COURSE
CREDITS
TIME
INSTRUCTOR
5) What are the recommended additional resources as part of the Success Contract?
Tutoring
Study Groups
Follow Up Meetings with the Counselor or Faculty Advisor
Other as follows
COUNSELOR or FACULTY ADVISOR COMMENTS/ADDITIONAL RECOMMENDATIONS:
COUNSELOR OR FACULTY ADVISOR NAME (PLEASE PRINT)
COUNSELOR OR FACULTY ADVISOR SIGNATURE
DATE
STUDENT’S SIGNATURE
DATE
RETURN COMPLETED FORM TO ADMISSIONS AND REGISTRATION
SCC – IN BUILDING 15
SFCC - IN BUILDING 17
CCS 4524 (Rev. 10/17)
Marketing and Public Relations
SPOKANE COMMUNITY COLLEGE
SPOKANE FALLS COMMUNITY COLLEGE
FOR ADMISSIONS / REGISTRATION USE ONLY
STUDENT NOTIFED WHEN ENROLLED:
IN PERSON
PHONE
EMAIL
DATE:
COMMENTS:
ADMISSIONS/REGISTRATION SIGNATURE
DATE
CCS 4524 (Rev. 10/17)
Marketing and Public Relations
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Petition For Enrollment Into A Class (Spokane Community College)

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Completed 8 October 2020

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