San Jacinto Campus Menifee Valley Campus Temecula Education Complex San Gorgonio Pass Campus
1499 N. State Street 28237 La Piedra Road 27447 Enterprise Circle West 3144 W. Westward Ave.
San Jacinto, CA 92583 Menifee, CA 92584 Temecula, CA 92590 Banning, CA 92220
(951) 487-MSJC (6752) (951) 672-MSJC (6752) (951) 506- MSJC (6752) (951) 922-1327
Submit form to Enrollment Services
ID#:
Student Name: _____________________________________ Phone Number:
Address: MSJC Major:
Number Street (Required, refer to catalog)
Other Colleges Attended:
City State Zip
I am trying to meet a Prerequisite for:
(ie.: MATH 105)
Student Comments:
For the following term:
I have submitted official transcripts to MSJC and request evaluation of these transcript(s) to meet course prerequisites.
Student Signature Date
You will be notified by mail of the results of this evaluation. Please note that equivalencies may not be possible without course
descriptions. You may be required to contact your prior institutions attended to obtain course descriptions and provide them
for this request.
White: Student File Yellow: Student ES877 Rev: 04/17
For office use only
Met Prerequisite for _____________________
Comments: ________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
__________________________________________________________________________________________________________
Prerequisite Evaluation Approved by: ____________________________________ Date:_______________
Request for Prerequisite Evaluation
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