OFFICE USE ONLY: (Form to be processed within 5 working days of being filed).
Time and date received in Student Services Office.
Time, date and person who advised student of results or action taken.
Prerequisite Challenge Form
Admissions and Records
2088 North Beale Road, Marysville, CA 95901
T: (530) 741-6720
IT IS THE STUDENT’S RESPONSIBILITY TO PROVIDE COMPELLING EVIDENCE TO SUPPORT THE CHALLENGE
I acknowledge that Yuba 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
Name of the Course I wish to enter:
(Dept/Number/Title)
Prerequisite I wish to Challenge:
(Dept/Number/Title)
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 Student Services Office. The Dean of the Division 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
Student Services Office, which will forward it to the Dean of the Division 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 Student Services Office for review and determination by the Dean
of the Division 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 Student
Services Office for review by Dean of the Division. The Dean will arrange 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 the
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 the Division
FOR OFFICE USE ONLY Documentation has been evaluated and the challenge has been:
