San Jose/Evergreen Community College District
Special Part – Time Student
Admissions Policy
Evergreen Valley College
San Jose City College
A parent or guardian of a student who is under 18 and is not attending high school may directly petition to the college
to authorize the attendance of the student as a part-time student. Part-time students admitted under these provisions
will be subject to all college rules and regulations which are published in the college catalog. (Educations Code 76001,
District Policy 5000.2)
Part A To be completed by student, parent or guardian
Please PRINT
Name Date
Last First
MI
Student ID Number (EVC)
Street
City
State
Zip
Date of birth
_
_
Current age
_
_
Name of last school attended_
___________
___
Last grade completed
__________
l am:
A middle school student
A homeschooled student ______________________________________
Name of homeschool program
A student who has earned a GED A student who passed the high school proficiency exam
Other
-----------------------------
Reasons for wanting to attend college ___________________________________________________
Student’s Signature
Parent or Guardian’s Signature
Part B To be completed by college
Admissions Director
Accept
Deny
Reason(s) __________________________________
__________________________________________________________________________________
__________________________________________________________________________________
President’ s Signature _
White: Admissions - Yellow: Counseling - Pink: Student R-42
