SanDiegoCommunityCollegeDistrict
PETITIONFORMODIFICATIONOFGRADUATIONREQUIREMENTS
CityMesaMiramar
PurposeofPetition:Substitution Waiver
SelectOne:MajorRequirementDistrictRequirementDistrictGeneralEducationRequirement
Name CSID_______________________________
 (PRINT)Last First Middle
Address
NumberStreetCityState Zip
Email_______________________Telephone
AssociateDegree CertificateofAchievementCertificateofPerformanceSDCCDCoursesOnly
Major Specialization
RequiredCourse(e.g.CHEM100)CourseTitle #units
Course(s)tobeSubstituted CourseTitle #units______
Takenat(Institution)
Attachadetailedjustificationforyourpetition
Attachrequiredsupportingdocumentation
Transcript(s)ComputerizedEducationPlan
CatalogDescriptionofProposedSubstituteCourse(s) Otherdocumentation
Student’sSignature_____________________________________________Date________________________
OfficialUseOnly
DepartmentChair’sRecommendation


Name(PRINT)SignatureDate
Dean’sRecommendation

Name(PRINT)SignatureDate
Committee’sAction ApprovedDenied
Reason(s) 

Signature Date
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Evaluator’sAction Approved Denied
Reason(s) 


Signature Date
White:StudentFolderYellow:FinalDecisiontoStudent SSPETMOD4/12
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PETITIONFORMODIFICATIONOFGRADUATIONREQUIREMENTS
INSTRUCTIONSFORSTUDENT
1. EducationPlanmustbeonfile.
2.
Useoneformforeachsubstitution/waiver.
3.
PlaceallmaterialsinmailboxofDepartmentChairforthemajor,orhanddirectly
tothatDepartmentChair.
4. Forassistancepleasecontactacounselor.
Youwillbenotifiedregardingtheapprovalordenialofyourpetition.

NOTE:
Substitution‐toreplaceacourserequiredwithanothercourse(s).
Waiver‐exemptionfromtakingarequiredcourseinthemajororDistrictrequirement.
DistrictGeneralEducationrequirementscannotbewaived.
Aminimumof18unitsisrequiredforthemajorforalldegreeprograms.