San Jacinto Campus
1499 N. State Street
San Jacinto, CA 92583
Phone: (951) 487-3215
Fax: (951) 654-6738
Menifee Valley Campus
28237 La Piedra Rd.
Menifee, CA 92584
Phone: (951) 639-5215
Fax: (951) 672-6548
Temecula Education Complex
27447 Enterprise Circle West
Temecula, CA 92590
Phone:(951) 506-6752
Fax: (951) 693-5309
San Gorgonio Pass Campus
3144 W. Westward Ave.
Banning, CA 92220
Phone:(951) 922-1327
Fax: (951) 922-1408
Print legibly- Submit petition and documentation to Enrollment Services for review by the Academic Standards Committee
Name:
Student ID #:
Phone #:
Term:
MSJC Email:
@student.msjc.edu
Minimum documentation required for appealing: A written statement from the student, supporting documentation and a copy
of the most recent comprehensive educational plan.
Please circle any special programs you are currently involved in: DSPS EOPS CalWorks Veteran/Military
Select which item(s) you wish to appeal and then select applicable reason(s) below:
Loss of Priority Registration Loss of CA College Promise Grant Dismissal
Reasons applicable to Loss of Priority Registration AND/OR CA College Promise Grant:
Extenuating Circumstances
Extenuating circumstances are verified cases of accident, illness, or other circumstances beyond your control.
Applied for Disability Services (DSPS) and did not receive accommodations in a timely manner
Student must obtain signature from the Director of the program.
DSP&S Director Signature: _____________________________________________
Academic and/or progress improvement
Students who lose priority enrollment and CA College Promise Grant eligibility due to academic or progress probation must
demonstrate significant academic improvement. Evidence of such improvement is defined as achieving no less than the minimum
GPA (2.0) and progress standard (no less than 51%) for the semester.
Reasons applicable to Loss of Priority Registration ONLY due to 100 unit limit:
Enrollment in courses required for a high unit transfer major or program resulting in 100+ units
High unit majors generally include preparation for transfer programs in Allied Health, Architecture, Computer Information Science,
Engineering, Mathematics and Sciences or other high unit majors. Note: This does not apply to MSJC’s Nursing and Allied Health
programs.
Exemption from 100 unit limit based on prior non-traditional credit
This category is applicable to students whose cumulative unit total has gone over the 100 units based on specific non-traditional credit or highly
specialized coursework.
Exemption from 100 unit limit or degree based on last semester prior to graduation/transfer
Special consideration for students with a degree or have 100 units AND are within their last semester to meet their educational goal.
Reasons applicable to Loss of CA College Promise Grant ONLY:
Change of student’s economic situation
Unable to attain essential support services
Special consideration of factors for CalWORKs, EOPS, DSPS, and Veteran Students.
Student must obtain signature from the Director or Dean of the program.
Director/Dean Signature: ______________________________ Program: ______________________________________
Reasons applicable to Dismissal:
Extenuating Circumstances
Extenuating circumstances are verified cases of accident, illness, or other personal circumstances.
Conditions that may be rectified by a change of curriculum
Student must provide an updated educational plan from a counselor, indicating a change in program of study would significantly
impact a student’s success rate.
Military services obligations
Student must provide military orders.
Student’s Signature: Date:
LOSS OF PRIORITY REGISTRATION, CA COLLEGE PROMISE GRANT,
and/or DISMISSAL APPEAL
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Loss of Priority Registration Appeal Standards:
Regulations set forth by the Board of Governors of the California Community College system in Title 5, Section 58108 require colleges to adopt
registration priorities based on factors such as number of units completed, academic standing, and other considerations. Students who have
completed 100 units and/or who have been on academic and/or progress probation for two consecutive semesters will lose registration priority.
However, students may appeal to have their priority registration reinstated based on factors such as documented extenuating circumstances,
untimely reasonable accommodations for DSP&S students, students in high unit majors, prior credit or academic improvement.
NOTE: An approval only allows for an earlier registration date but does not guarantee course availability.
Loss of California College Promise Grant (Previously Board of Governor’s Fee Waiver) Appeal Standards:
(Effective Summer 2018, the Board of Governor’s Fee Waiver has been renamed to California College Promise Grant)
The California College Promise Grant is a state funded program available to residents of California and students with AB 540 status attending
a community college. Students are eligible for a waiver of the college's enrollment and health fees. In order to qualify students must meet
minimum academic standards. All grades will be used to determine California College Promise Grant eligibility.
Any combination of two consecutive terms with a cumulative GPA below 2.0, and/or a cumulative course completion of less than
50% may result in a loss of fee waiver eligibility.
Students will be notified within 30 days of the end of each term if he/she is being placed on either Academic (GPA) and/or Progress (Course
Completion) probation. Notification will include the information that a second term of probation will result in a loss of eligibility. After the second
consecutive term of probation, students may lose eligibility during the next registration opportunity.
How to regain eligibility for the California College Promise Grant:
If a student loses eligibility, there are a few ways to have it reinstated:
Improvement to GPA and/or Course Completion measures to meet academic and progress standards
Successful appeal regarding extenuating circumstances
Not attending your school district for two consecutive primary terms (Fall/Spring)
The appeals criteria for extenuating circumstances includes
:
Verified accidents, illness or other circumstances beyond the student’s control
Verified change in economic situation
Evidence of inability to obtain essential support services
Special consideration factors for CalWORKs, EOPS, DSPS and veteran students
Disability accommodations not received in a timely manner
NOTE: Foster youth and former foster youth (age 24 years and younger) are not subject to loss of eligibility under these regulations.
Dismissal Appeal Standards:
A student on Probation is subject to dismissal if their cumulative GPA and/or percentage of units completed falls below standard for three
consecutive semesters. Students on Dismissed status may be required to sit out for one primary semester. A dismissed student may submit
an appeal to remain enrolled if their dismissal arises from one of the following circumstances: unusual personal circumstances interfering with
academic performance, serious health problems supported by medical documentation, military service obligations, or conditions that are
determined may be rectified by a change in curriculum.
Appeal Procedures for Loss of Priority Registration, CA College Promise Grant and/or Dismissal Appeal:
An appeal may not be submitted until the student receives notification of loss of grant eligibility and his/her registration appointment
has been assigned
Complete the appeal form entirely and attach a personal statement, supporting documentation and a current Comprehensive
Educational Plan
Submit the appeal and all attachments to Enrollment Services at any campus location
The appeal will be reviewed by the Academic Standards committee within two weeks of submittal
Students will be notified of the appeal outcome via email
Appeal outcomes are final
If the appeal is approved and leads to grant reinstatement after the student has paid fees, the student is responsible for submitting a
refund request.
If you have questions or need assistance, please contact the Enrollment Services or Financial Aid Office
OFFICE USE ONLY: Current Registration Date & Time:
Registration Priority: CA College Promise Grant: Dismissal:
Approved Denied Deferred Approved Denied Deferred Approved Denied Deferred
Academic Standards Committee Designee: Date:
Comments:
New Registration Date &Time: Grant Reinstate/Rebill: Dismissal Hold Adjusted: