Coast Coast Community College District PETITION FOR ACADEMIC RENEWAL Originating Campus: Coastline College Golden West College Orange Coast College

This Academic Renewal Policy for Coast Community College District is issued pursuant to Section 55040 of the California Administrative Code (Title 5) regulations, and CCCD BP4240. The purpose of this policy is to disregard past substandard academic performance of a student when such work is not reflective of his/her current demonstrated ability. It is based on the recognition that due to unusual (extenuating) circumstances, or circumstances beyond the student’s control, the past substandard work will negatively affect the student’s ability to complete his/her educational goals. Academic Renewal is intended to facilitate graduation from a College in the District or enable qualified students to transfer to a four-year college or university.

If specific conditions are met, (as listed below) the Coast Community College District colleges may disregard courses from all consideration associated with the computation of a student’s cumulative GPA up to a maximum of thirty (30) semester units of coursework taken at any College in the District for graduation or transfer purposes only. If another accredited college has acted to remove previous course work from consideration in computing the GPA, such action shall be honored in terms of its procedure. However, such units disregarded shall be deducted from the 30-semester unit maximum of coursework eligible to be disregarded at a College in the District.

1. The course work to be disregarded is substandard (grades of D, F, or NP.) If approved, the selected coursework shall be disregarded in that semester, except those courses required as a prerequisite or to satisfy a requirement of the student’s current declared program of study. 2. A minimum of 15 semester units has been completed at any regionally accredited college or university with a cumulative GPA of at least 2.0 in all course work subsequent to the course work to be disregarded. 3. At least 12 months have elapsed since the most recent approved request for academic renewal. 4. Academic Renewal cannot be reversed once it has been granted. 5. A student may request academic renewal a maximum of two times district-wide during enrollment at any of the Colleges in the District. 6. Submit form at home campus and allow 15-20 business days to be processed.

All coursework will remain legible on the student’s permanent record (transcript), ensuring a true and complete academic history. However, the student’s permanent records will be annotated so that it is readily evident to all users of the records that the units are to be disregarded. This notation will be made at the time that the academic renewal has been approved by the appropriate college office.

**Student Must meet with a counselor at their home campus to determine Academic Renewal eligibility**

Student Name: Date of Birth: Student ID #: C

Address: City: State: Zip Code:

Email: Phone: ( )

I have read and understood the policy outlined on this petition. I understand that Academic Renewal cannot be reversed once it has been granted.

Student’s Signature: Date: List other college attended:

Current official transcripts, from all regionally accredited schools attended outside the Coast Community College District (OCC GWC CCC), must be on file in order to process this petition. Has academic renewal or grade forgiveness been requested at any of these colleges/universities?  Yes  No

If yes, please list college(s)/university(s) Are you planning to transfer?  Yes No Are you planning to graduate?  Yes No If yes, from which campus?  CCC  GWC  OCC Program of Study: Continued on next page Student Name: Student ID #C

List Courses to be disregarded: College Semester & Year Course Title Units Status Ex. (Math G100) (Processed) CCC/GWC/OCC Office Use Only

** Submit form with your current home campus**

FOR COUNSELOR USE ONLY

Anticipated Transfer Date:  Fall  Winter  Spring / Year: 20  N/A Anticipated Graduate Date  Fall  Spring  Summer / Year: 20 Program of Study Verified by:  Transcript Evaluation  SEP / DegreeWorks Audit  University application Counselor Print Name: Campus:  CCC  GWC  OCC Extension: Counselor Signature: Date: Counseling Dean Signature: Date:  CCC  GWC  OCC

FOR ADMISSIONS AND RECORDS OFFICE USE ONLY

 APPROVED  DENIED

COMMENTS:

Signature Director of Enrollment Services or Designee: Date:

SGASTDN Comments Date entered:

CCC/Date: GWC/Date: OCC/Date: