rev 12/2016
Student ID Number:
OFFICE OF THE UNIVERSITY REGISTRAR
REPEAT GRADE REPLACEMENT PETITION
This petition is ONLY to be used in situations where one of the courses taken was NOT at Sacramento
State. Repeats requiring an exception to the new policy, effective Fall 2010 should use the Repeat
Exception Petition available on the web at www.csus.edu/registrar/forms Submit completed forms to
the Student Services Counter, Lassen Hall.
NAME:
LAST FIRST MI
SACLINK EMAIL @CSUS.EDU PHONE NUMBER
COURSE INFORMATION
Please fill in every item below. List all attempts except those with grades of “W”. Use a separate form for each course.
PREVIOUS
ATTEMPT(S)
CURRENT
ATTEMPT
CHAIRPERSON OF THE DEPARTMENT OFFERING THE COURSE MUST APPROVE THE REPEAT PETITION.
YOU MUST OBTAIN APPROVAL PRIOR TO ENROLLMENT IN THE REPEATED COURSE
TO BE SURE THE UNIVERSITY ACCEPTS COURSE EQUIVALENCY
________________________________ _______________________ _______________________
DEPT. CHAIR SIGNATURE DEPARTMENT DATE
IMPORTANT INFORMATION:
1) A student may repeat any Sacramento State course in which they earned a grade of C- or lower, once and have the most recent
grade earned (even if it is a lower grade) used in determining grade point average. The original grade remains on the
transcript, but is not included in the GPA calculation. In the case of multiple repeats, the second and all subsequent attempts
will be averaged together in the GPA calculation. (EVEN IF THE DEPARTMENT OF THE COURSE GRANTED
PERMISSION TO ENROLL IN THE COURSE THIRD OR SUBSEQUENT TIMES, grades of second and all subsequent
attempts are averaged together in the GPA calculation.)
2) If a “Repeat Grade Replacement Petition” is not submitted by the student, incorrect unit and grade point totals may exist on
transcripts until the student’s graduation evaluation is completed.
3) The repeat grade replacement policy of a transfer institution, if it can be determined, will be applied to a student’s record at the
time of transfer to Sacramento State. If it cannot be determined, the Sacramento State policy will apply.
4) Students who hold a bachelor’s degree may not repeat courses for grade replacement for which they earned credit as an
undergraduate, nor may they repeat courses at other institutions for the purpose of improving their Sacramento State GPA.
Office of the University Registrar • 6000 J Street • Sacramento, California 95819-6056 • (916) 278 - 1000
COLLEGE/
SEMESTER
and YEAR
COURSE
TITLE OF COURSE UNITS
GRADE
EARNED
course is now in
progress.
click to sign
signature
click to edit
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