San Bernardino Valley College
LATE ADD PETITION
Notified ______ By ______
You will only be approved for a late add if it’s within the time frame listed below and there is an acknowledged
error on the part of your instructor or a college employee. Reasons such as not knowing the procedure, forgetting
to add, pending financial aid, needing to work, not having time to complete the add process, having a hold will be
denied.
DEADLINE: The petition for 18-week classes must be submitted to Admissions & Records
completed and signed with all required documentation 1-week after the last day to add. For short term
classes (classes that meet less than 18 weeks) is 1-week after the last day add.
If you fail to meet this designated deadline you forfeit all rights to enroll in this class. Note: Submission of this
petition does not guarantee enrollment. Enrollment must be in accord with the California Education Code, Title
5 Code of Regulations, and the policies and procedures of San Bernardino Valley College.
You will be notified via your SBVC student email if your petition has been approved or denied.
NAME _____________________________________________________________________ DATE _________________
(PLEASE PRINT) LAST FIRST MIDDLE
ADDRESS ___________________________________________________________________________________________
NUMBER - STREET CITY STATE ZIP
TELEPHONE _________________ BIRTHDATE ________________ STUDENT ID NUMBER ________________
MONTH - DAY -YEAR
_______________________________________________ _______________________________________________
COURSE REFERENCE NUMBER
Example (4386)
COURSE NAME & NUMBER
Example (Math 102)
SECTION NUMBER ____________ INSTRUCTOR’S NAME _____________________________________________
STUDENT: Present your request as clearly and briefly as possible.
INSTRUCTIONS: You must 1) provide an explanation why you are submitting the add form after the published
deadline; 2) sign and date the petition; 3) obtain staff acknowledgment of error; 4) obtain the signed approval of the
instructor; 5) obtain the signed approval of the division dean; and 6) turn in completed petition along with AddCode
to Admissions office before the deadline.
REMINDER: The nature of your reason must be college error.
NOTE: If you do not submit this petition with all required information and signatures by the deadline for late add
submissions (see front of this form), you will not be enrolled in the course. There will be NO further opportunities to
petition. If you remain in the course and later petition to obtain credit, it will be denied.
You will be denied registration if any of the following cases apply:
1) Student has not met the prerequisite for the course;
2) Student has not filed an application for admissions;
3) Enrollment would constitute an illegal repeat;
4) Enrollment would create an unauthorized overload of units;
5) Enrollment is blocked by a hold (fee, disciplinary, academic/progress dismissal, other);
6) Student is a K-12 student who has not completed admissions requirements;
7) Students first day of attendance is in or after the census date.
Required signatures and more information are on the back of this form.
IMPORTANT NOTE: PETITIONS WITHOUT APPROPRIATE SIGNATURES AND PROPER DOCUMENTATION
AND ADDCODE AUTHORIZATION WILL BE DENIED.
Wyoming
EXPLANATION--PLEASE PRINT YOUR EXPLANATION CLEARLY AND BRIEFLY BELOW
Response to this petition will be sent to your SBVC email account
I certify that the statements and documentation I have provided are true and accurate. I acknowledge that false statements
or forged or altered documentation may result in disciplinary action under the Student Code of Conduct.
___________________________________________________ ________________________________
STUDENT’S SIGNATURE DATE
INSTRUCTOR:
Start Date of Class ______________________ First Day of Student Attendance in Class: ________________________
____________________________________ _______________________________ ________________
INSTRUCTOR NAME (Print) SIGNATURE DATE
DIVISION DEAN:
o Recommend Approval o Do Not Recommend Approval
____________________________________ _______________________________ ________________
DEAN NAME (Print) SIGNATURE DATE
Comments __________________________________________________________________________________________
____________________________________________________________________________________________________
____________________________________________________________________________________________________
o Approved o Denied Census date _________________
BY _________________________________________________ DATE ___________________________
Director of Admissions
FOR OFF ICE USE ONLY - DO NOT WRITE BELOW THIS LINE
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