Fillable Special Admit Unit Limit Waiver Form Form (Los Medanos College)

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Special Admit Unit Limit Waiver Form Form (Los Medanos College)

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Revised 11/30/09
Los Medanos College
Unit Limit Waiver Form
Student Name (print):___________________________________________ LMC Student ID:______________
If you wish to take more than 7 units for Fall/Spring terms or more than 5 units for Summer term,
please complete this form and attach it to your completed Special Admit Enrollment form. You must
also take the LMC High School Student Online Orientation and attach the completion certificate to
this request. In order to be considered, you must fill out this form completely, including an explanation
of why you are making this request.
Check term/year:
Summer Fall Spring Year: _______________
List Classes *
Units
Check if
already
enrolled
Check if want
to enroll
Total Number of Units
*Please note, special admit concurrently enrolled high school students who are permitted to enroll in 12 or
more units will pay the current California enrollment fees for all units.
Current Grade in High School: _____________ Age: ______________
Please explain in the space below your reasons for your request.
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
________________________________________________________________________________
Student Signature: _________________________________________________ Date:___________
Parent/Guardian Signature: __________________________________________ Date:___________
Official Use Only:
Approved Denied
Signature of Dean/Manager ___________________________________________ Date: __________________________
Comments: _______________________________________________________________________________________
_________________________________________________________________________________________________
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Special Admit Unit Limit Waiver Form Form (Los Medanos College)

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Completed 21 July 2020

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