Y:\A&R Forms and Petitions\Special Admission Criteria - Course Restrictions - Form 3.20.19.docx Revised 3/23/2020
Example: ART 010 Art Appreciation
SPECIAL ADMISSION RECOMMENDATION FORM
Please indicate the term for
which you are applying:
___Fall 20____
(August – December)
___Spring 20____
(January – May)
___Summer 20____
(June – August)
___________________________________________________________
SCC ID# _______________________
Telephone # ____________________
Date of Birth____________________________
E-Mail Address _______________________________
Anticipated Graduation Date ____________________
Current Grade Level __________________________
(If you are new to SCC and below grade 9, please have form
signed by college official at your interview—see #2 of Special
Admission Program Criteria.)
Current G.P.A. ______________________________
List Courses in which You Wish to Register
Note: You will NOT be registered for classes
from this form. To register you must use
MySolano online registration
(www.my.solano.edu)
_______________________________
_______________________________
_______________________________
FEES: Students registering in 12 or more units in Fall and Spring or in 6 or more units in the Summer will be
charged regular enrollment fees for all units registered.
I am pleased to recommend the above-named student for Solano Community College's Special Admission Program.
He/she is academically prepared for the following advanced scholastic or vocational courses, and completion of the
cou
rse(s) on your campus would enhance the student's ability to compete effectively in his/her future education. This
student has availed himself or herself of all opportunities to enroll in an equivalent course at his or her district of
attendance, per Education Code, Sections 48800, 48800.5 and 76001(a) and (b).
For any particular grade level, a principal shall not recommend for community college summer session attendance more
than 5 percent of the total number of pupils who completed that grade immediately prior to the summer session.
By sign
ing on line below, the K-12 principal attests to compliance with this regulation.
_____________________________
NAME OF SCHOOL
_____________________________
Counselor’s Name (print)
Denied
_________________________________Date:____________
K-12 PRINCIPAL’S SIGNATURE (Required)
_________________________________Date:____________
K-12 COUNSELOR’S SIGNATURE (Required)
_________________________________Date:____________
SCC COLLEGE OFFICIAL (required if student is new to SCC
& under Grade 9; see Criterion #2 on reverse side)
I approve of my son/daughter taking the above listed course(s) on the Solano Community College campus. I understand
that there are federally imposed privacy restrictions on my child’s records that bar me from accessing those
records regardless of my child’s age unless I have my child’s written consent. I understand that my child must
adhere to the academic standards of the College. I understand that no extra supervision is provided for minors
before, during or after class.
_____________________________________________ ____________________________________________
PARENT’S SIGNATURE (Required) DATE
I declare under penalty of perjury that the statements submitted by me in connection with determination of Special
Admission are true and correct. All materials submitted by me for purposes of admission become the property of Solano
Community College. I understand that falsification, withholding pertinent data, or failure to report data changes may result
in my dismissal. I authorize SCC to provide a copy of my transcript to the school named above.
_____________________________________________ ____________________________________________
STUDENT’S SIGNATURE (Required) DATE
Approved
A&R Staff: Please add TUTR 500 & MATH 505 to all K12 requests.
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