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Temecula Education Complex 27447 Enterprise Circle West Temecula, (Mt. San Jacinto Community College District)

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ID #
Term/Year:
Phone:
Course requesting to be repeated:
(one course per petition)
Reason(s) For Request:
(Documentation to support request is required)
OFFICE USE ONLY
Staff Recommendation:
Comments:
Decision:
ES 686 08/17kw
White – Enrollment Services Yellow - Student
Student Signature
Date
San Jacinto Campus
1499 N. State Street
San Jacinto, CA 92583
(951) 487-3215
Fax (951) 654-6738
Menifee Valley Campus
28237 La Piedra Rd.
Menifee, CA 92584
(951) 639-5215
Fax (951) 672-6548
Temecula Education Complex
27447 Enterprise Circle West
Temecula, CA 92590
(951) 506-6752
Fax (951) 693-5309
San Gorgonio Pass Campus
3144 W. Westward Ave.
Banning, CA 92220
(951) 922-1327
Fax (951) 922-1408
Name:
Street:
City:
State/Zip:
Approved Denied Deferred
Comments:
Signature
Date
Signature
Date
Students are limited to THREE enrollment attempts in a course (without petitioning) if the following grades have been
received: F, D, NP, NC, and/or W. A final fourth attempt may be allowed by submitting a petition if extenuating
circumstances occurred during the time of previous enrollment except when three Ws were received. Extenuating
circumstances are defined as accidents, illness, or other emergency beyond a student’s control. Documentation must be
attached.
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Temecula Education Complex 27447 Enterprise Circle West Temecula, (Mt. San Jacinto Community College District)

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Completed 2 February 2021

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