Prerequisite Challenge Form
Admissions and Records
2300 E. Gibson Road, Woodland, CA 95776
T:(530) 661-5720 F: (530) 661-5705
OFFICE USE ONLY: (Form to be processed within 5 working days of being filed).
Time and date received in Admissions and Records Office.
Time, date and person who advised student of results or action taken.
IT IS THE STUDENT’S RESPONSIBILITY TO PROVIDE COMPELLING EVIDENCE TO SUPPORT THE CHALLENGE
I acknowledge that Woodland Community College has determined that this prerequisite is necessary for success in the course and
that I am taking personal responsibility for succeeding without this prerequisite. If this challenge is not upheld, I realize I may be
dropped from this course. I attest that statements on this form and attached documents are true and accurate.
Student Signature Date
Name: Student ID:
Address: Email:
Street City State Zip
Phone: ( ) Fall Spring Summer 20
Please check the box which applies to you:
I am challenging the prerequisite on the grounds that the prerequisite course has not been made reasonably available. I
understand that I must take the petition to the Admissions and Records Office. The Dean of Instruction and Learning
Resources will then determine within 5 working days whether the required course was reasonably available. If it was not, the
challenge will be upheld. (NOTE: Student documentation is required). My request must be made prior to the first day of
the term.
I am challenging the prerequisite on the grounds that it is not valid because it was not established according to adopted
regulations and policies (NOTE: Student documentation is required). I understand that I must take the petition to the
Admissions and Records Office, which will forward it to the Dean of Instruction and Learning Resources for processing
within 5 working days of being filed. My request must be made prior to the first day of the term.
The prerequisite is discriminatory or applied in a discriminatory manner (NOTE: Student documentation is required). I
understand that I must submit the petition directly to the Admissions and Records Office for review and determination by the
Dean of Instruction within 5 working days. My request must be made prior to the first day of the term.
I am challenging the prerequisite based on my knowledge or ability to succeed in the course despite not meeting the
prerequisite (student documentation required). I understand that I must take the petition directly to the Admissions
and Records Office for review by Dean of Instruction and Learning Resources. The Dean will arranged for the faculty-
level evaluation of the documentation so that a determination may be made within 5 working days. My request must be
made prior to he first day of the term.
Grounds for Challenge: (Documentation Attached)
Students wishing to appeal this decision may do so by meeting with the Dean of Instruction.
Name of the Course I wish to enter:
(Dept/Number/Title)
___________________________________________________
Prerequisite I wish to Challenge:
(Dept/Number/Title)
___________________________________________________
FOR OFFICE USE ONLY Documentation has been evaluated and the challenge has been:
Approved Denied Dean /Reviewer Signature
Comments:
Rev. 6/11rt
