Updated TEO: 8/15/19
This form is for pre/corequisite clearance requests using grounds other than coursework.
For requests using coursework completed at external institutions, complete Prerequisite Verification Form A.
STEP 1: Review Instructions and Deadlines Before Completing This Form:
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: _________________________________________
STEP 3: Select one of the following to indicate the grounds on which you are challenging the pre/corequisite.
A. I
have the knowledge or ability to succeed in the course despite not meeting the prerequisite.
B. The pre/corequisite course has not been established in accordance with the District’s policies.
C. The pre/corequisite is unlawfully discriminatory or applied in a discriminatory manner.
D. The pre/corequisite is in violation of policies for prerequisites, corequisites, and advisories on recommended
E. I am subject to undue delay in attaining the goal of my educational plan because the pre/corequisite course has not
been made reasonably available.
STEP 4: Enter SBCC course information. You may submit a request a review of multiple courses to ONE department.
If verifying multiple courses under different departments, complete a separate form for each department.
Term you would
like to enroll
SBCC Course 1
Course 1
SBCC Course 2
Course 2
SBCC Course 3
Course 3
STEP 5: Attach a written statement with reasons supporting the basis for your pre/corerequisite clearance request.
It is the student’s responsibility to provide compelling evidence to support their request. Requests submitted
without supporting evidence will be denied.
STEP 6: 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.
Santa Barbara City College has determined that this prerequisite or corequisite is necessary for success in the course and I
am taking personal responsibility for my success or failure with or without this prerequisite if this verification is approved.
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
Signature: ____________________________________________ Date: _______________________
How to submit Your Request Form:
Online (recommended): Upload your documents to Sharefile (PDF or photo preferred).
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
: Approved
: Denied _____________________________ Banner Entry Date: _________________________ By: ___________
Code(s): ______________________________________________ Override: _________ Course(s): ______________________________
Notes: __________