Fillable STUDENT REQUEST FOR PASS/NO PASS (Antelope Valley College)

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STUDENT REQUEST FOR PASS/NO PASS (Antelope Valley College)

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STUDENT REQUEST FOR PASS/NO PASS
Return form to the Admissions & Records Office by emailing: registration@avc.edu
Incomplete or illegible forms will not be processed
This request must be submitted to the Admissions & Records Office at registration@avc.edu from the
student’s AVC email account. All requests will be reviewed for approval.
Name _______________________________________________________ Semester ________ Year________
Last First MI
AVC Student ID #900_______ _________
Email _________________________@avc.edu
Address______________________________________________
Phone (_____) _____________________
_______________________________________________________________________________________
City State Zip
COURSE(S) FOR WHICH I ELECT THE PASS/NO PASS OPTION
CRN
(i.e., 30398)
Course Number & Title
(i.e., BIOL 201, Anatomy)
Days
(i.e., T & TH)
Units
______________________________________________________________ ______________________
Student Electronic Signature Date
****************ADMISSIONS & RECORDS OFFICE USE ONLY*****************
DA
TE PROCESSED: ____________________________
INITITALS: _________________
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STUDENT REQUEST FOR PASSNO PASS (Antelope Valley College)

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Completed 25 July 2020

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