PREREQUISITE CLEARANCE REQUEST FORM A
Updated TEO: 10/28/19
This form is for pre/corequisite clearance requests using equivalent coursework completed at external institutions.
For requests without transcripts or based on other criteria, complete Prerequisite Verification Form B.
STEP 1: Review Instructions and Deadlines Before Completing This Form: sbcc.edu/teo/prerequisiteinstructionsforms.php
STEP 2: Enter Your Student Information (Use black ink and print)
Student Name: ________________________________________ SBCC ID Number: K_________________________
Today’s Date: ______/______/_______ Phone: (______) ________-____________
SBCC Pipeline Email address: _________________________________________ @pipeline.sbcc.edu
STEP 3: Check at least one of the following and enter in the date SBCC received your official transcripts.
Submit your official transcripts to Admissions BEFORE you submit this form. Your form will not be processed if your official
transcripts are not on file. Instructions to submit you transcripts: http://www.sbcc.edu/transcripts/incomingtranscripts.php
Verify your transcripts have been received: http://sbcc.edu/admissions/files/IncomingTranscriptsReceived.pdf
High school transcript(s) (OFFICIAL ONLY). Date received: ______/______/_______
College transcript(s) (OFFICIAL ONLY). Date received: ______/______/_______
STEP 4: Enter course information below. If all parts of this section are not complete your request will not be processed.
College-level coursework must be completed with a grade of C, Pass or Credit (where Pass and Credit are a C/2.0 or above).
pre/corequisite
to enroll in
External institution where
pre/corequisite was taken, AP
score, or health tech credentials
course subject
course was
late start
STEP 5: Sign and Submit:
With my signature I acknowledge the following:
• I have read and understand the deadline and instruction information linked in Step 1 above.
• I understand that I must check my SBCC Pipeline email account for notifications regarding my request.
• I understand all transcripts for prerequisite clearance requests must be official, SBCC must have my transcripts on file
before the submission of this request, and that all external coursework used for prerequisite clearance must be
completed prior to enrolling in desired course(s) at SBCC or my request will not be processed.
• I understand that my external coursework is only evaluated and applied toward SBCC subject and/or unit credit and/or for
satisfaction of pre/corequisites. Other institutions are not obligated to accept SBCC subject or unit evaluations of external
coursework.
Signature: ____________________________________________ Date: _______________________
How to submit Your Request Form:
Online (recommended): Upload your documents to Sharefile (PDF or photo preferred. DO NOT submit transcripts to this
address. See instructions under STEP 3).
In person: Admissions & Records Office - Student Services Building
Building hours: Mon & Thurs: 8am-4pm, Tues & Wed: 8am-6:00pm, Fri: 8-1pm
By mail:
SBCC Transcript Evaluation Office, 721 Cliff Drive, Santa Barbara, CA 93109
Decisions: Notifications and decisions are emailed to your SBCC Pipeline Email account.
: Approved
: Denied _____________________________ Banner Entry Date: _________________________ By: ___________
Code(s): ______________________________________________ Override: _________ Course(s): ______________________________
________________________________________________________________________________________________________
