Aml, 2009
American River College
Enrollment Services Office
SUBSTANDARD GRADE REPEAT FORM
Name Student ID#
Last First Middle
Birthdate Phone Number
Month
Day
Year
Day Time Number
A student may repeat, one time only, a course taken at an accredited college for which a substandard
grade (D, F, or NC/NP) was received. The grade a student earns in the second or last enrollment is
used exclusively in determining grade points earned for that particular course. All work on the
student’s permanent record will remain legible, ensuring a true and complete academic history.
Please Complete The Information Below
Course Name Units Previous Grade Previous
Semester/Year
REPEATED
Semester/Year
Check here if you are repeating a course taken at another college. Official transcripts from
that college must be on file at American River College to complete your request.
Name of Other College
Please return this from to the Enrollment Services Office before the deadline
Date Received
Initials