Petition For Pre-Requisite/co-Requisite Challenge

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Berkeley City College
College of Alameda
Peralta Community College District
Laney College
Admissions and Records
Merritt College
Petition for Pre-Requisite/Co-Requisite Challenge
Summer ___________
Fall ___________
Spring ____________
Year
Year
Year
College of Alameda
Laney
Merritt
Berkeley City College
____________________________________
_________________________
________________
Student ID or last 4 digits of SSN
Phone No.
Student Name
I wish to enroll in the following course:
______________________________________________________
Course Name and Number
co-requisite is:
The
pre-requisite
_____________________________________________________
Course Name and Number
(check one only)
I am challenging the pre/co-requisite for the following reason: (Check one box. Write statement below to support your
petition. Sign and date form, and return to the Admissions and Record Office)
I have acquired through work or life experiences the skills and knowledge that are represented by the pre-requisite.
I have not been allowed to enroll due to a limitation on enrollment established for a course that involves intercollegiate
competition or public performance or where enrollment has been limited to a cohort of students. However, I would be
delayed by a semester or more in attaining the degree or certificate specified in my Student Educational Plan.
I can demonstrate that I do not pose a threat to others or myself in a course with a pre-requisite established to protect
health and safety.
I do not believe that the pre-requisite is necessary for success in the course or that it has been established in accordance
with District’s policies and procedures.
I believe that the pre-requisite or co-requisite is either unlawfully discriminatory or is being applied in an unlawfully
discriminatory manner.
I will be subject to undue delay in attaining the goal in my educational plan because the pre-requisite or co-requisite
course has not been made reasonably available.
Written statement: ___________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Attach additional pages if more space is needed.
Student Signature ________________________________________
Date ____________________________
Challenge Evaluation
Challenge was approved.
Challenge was denied. Reason _____________________________________________________________
Authorized Signature(s)
Department Chair ___________________________ Date ____________________
(or) Administrator ____________________________ Date ____________________
To College Staff: Sign and return form to Admissions & Records for data processing.
Rev. 11/6/2014

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