Forms

Instructions:

Please submit complete and signed forms per the instructions on the form

Admissions & Records Forms:

Document		Description
	Academic Renewal Petition	Petition allows up to 24 units of "D" or "F" grades to be disregarded in the computation of the GPA for classes that students do not wish to repeat
	Address Change	Form to request a change of address.
	ADT Verification Form	Form for students who need their degree verified with a CSU and missed the online verification window
	Audit Form	Form used if a student does not want to take a class for credit/grade and would rather sit in the class
	Authorization to Release Student Information	Form provides student's explicit written consent to release information from a student's record to a third party (e.g. parent, spouse, etc.)
	College Application	Paper application for admission to Merced College
	Course Substitution Form	Form to request a course substitution
	Duplicate Degree Request Form	Form for students to request a duplicate degree or certficate.  Requesting a duplicate degree cost $10.00 per degree/certificate request.
	Excused Withdrawal Petition	Form to request academic excused withdrawal from a course due to specific events reasonably beyond the control of the student that caused the student to be unable to continue to attend classes or complete the semester/term.
	General Petition	Form for petition categories such as: late request for graduation, drop without "W", late request for Pass/No Pass, refund, and other.
	Information Update Form	Form to update major and/or birthdate
	Intersegmental Cross Enrollment Form	Form to apply for intersegmental cross enrollment with UC Merced/Merced College
	K-12 Permit	Permit for special K-12 students to attend Merced College.  Each class will need its own permit and must be submitted with a Schedule Request Form.
	Late Term Withdrawal Petition	Petition to withdrawal from a class after the 14th week of the semester or 75% of the course, whichever is less, due to extenuating circumstances.
	Loss of Enrollment Priority and California College Promise Grant Waiver	Form to appeal loss of priority registration and CCPG waiver due to extenuating circumstances.
	Overlapping Enrollment Form	Form to enroll in two classes with an overlap.  Overlapping enrollment is not available after the second week of instruction of the overlapping class.
	Pass/No Pass Change	Form to remove Pass / No Pass and post instead your letter grade.
	Repeat a Course Petition	Form to repeat a course once the number of allowable repeats has been exhausted
	Request Pass/No Pass	To request a course be put on Pass/No Pass:  List class in the bottom right box of the Schedule Request Form and submit that signed form to Admissions@mccd.edu
	Schedule Request Form	Form to request class registration/adds, class drops or Pass / No Pass.