Forms

Instructions:

Please submit complete and signed forms via email to diana.romero@mccd.edu.

Admissions & Records Forms:

Document		Description
	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.)
	Duplicate Degree Request Form	Form to request a duplicate degree or certificate.
	General Petition	Form for petition categories such as: late request for graduation, drop without "W", late request for Pass/No Pass, refund, and other.
	Loss of Enrollment Priority and California College Promise Grant Waiver	Form to appeal loss of priority registration and CCPG waiver due to extenuating circumstances.
	Address Change	Form to request a change of address.
	Pass/No Pass Change	Form to remove Pass / No Pass and post instead your letter grade.
	Schedule Request Form	Form to request class registration/adds, class drops or Pass / No Pass.
	College Application	Paper application for admission to Merced College
	K-12 Permit	Permit for special K-12 students to attend Merced College
	Audit Form	Form used if a student does not want to take a class for credit/grade and would rather sit in the class
	Excused Withdrawl Form	Form to request academic excused withdrawl from a course due to events beyond control of the student that caused the student to be unable to continue the class or complete the semester/term
	Repeat a Course Petition	Form to repeat a course once the number of allowable repeats has been exhausted
	Academic Renewal Form	Form 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
	Information Update Form	Form to update major and/or birthdate