Revised 11/13/09
Contra Costa Community College District
Contra Costa College Diablo Valley College Los Medanos College
Petition for Academic Renewal
Student Name_________________________________________________ Student ID__________________
Last First MI
Address_____________________________________ City, State, Zip________________________________
Email Address____________________________________________ Phone #_________________________
Policy for Academic Renewal:
Substandard grades may be disregarded if they are not reflective of a student’s demonstrated academic ability. In order to request
Academic Renewal the student must fill out this form and follow the directions below. If Academic Renewal is approved, the student’s
permanent record will be noted with Academic Renewal comments and the units will be removed. The renewed course(s) will not be
removed from the record, as the district is required to show the student’s complete and accurate academic record.
1. You may only utilize Academic Renewal one time
2. Only substandard grades will be renewed
3. You must have completed 20 units of satisfactory work that has been completed within the Contra Costa Community College
District or any other accredited college or university, since receiving the last substandard grade (the unit count begins the
semester after the substandard grade is received.)
4. You must not have received any D’s, F’s or NC/NP since the substandard work (minimum 2.0 since substandard work)
5. Courses that have already been removed from GPA by course repetition will not be renewed
6. There is no minimum or maximum time limit (no waiting period since the substandard work)
7. Up to 24 units may be renewed; district courses can be combined up to the maximum of 24 units, however each college will
adjust their own work – one form per college
Procedure to petition for Academic Renewal:
♦ Fill out and sign the district form
♦ Obtain college counselor approval
♦ Complete a form for each college that you have attended. Turn the completed form(s) into any college within the District (one
form per college). If you are using non-district courses to qualify for the 20 units (see item #3 above). Official transcripts must
be on file in Admissions & Records prior to submitting Academic Renewal.
I understand the above regulations and I meet the qualifications for Academic Renewal.
Student Signature_________________________________________________ Date____________________
Counselor Signature_______________________________________________ Date____________________
Note: Counselor signature is required.
A&R Official Use Only: Approved______________ Denied________________
Comments: _______________________________________________________________________________________________________
Posted to Record: ____________________________________________________________________ Date_________________________
