PREREQUISITE CLEARANCE REQUEST FORM B
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: 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: 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
preparation.
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
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
coursework.
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): ______________________________
________________________________________________________________________________________________________
