Forms

Instructions:

Please submit complete and signed forms via email to admissions@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.)
	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.  Each class will need its own permit and must be submitted with a Schedule Request Form.
	Audit Form	Form used if a student does not want to take a class for credit/grade and would rather sit in the class
	Repeat a Course Petition	Form to repeat a course once the number of allowable repeats has been exhausted
	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
	Information Update Form	Form to update major and/or birthdate
	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.
	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
	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.
	EW for COVID for 2020 Fall	This excused withdrawal request is specifically for classes taken in fall 2020, which were dropped due to the COVID-19 pandemic.
	Excused Withdrawal Petition	This form is used to request academic excused withdrawal from a course due to a specific event reasonably beyond the control of the student that caused the student to be unable to continue to attend classes or comlete the semester/term.  Documentation is required.  Example: Medical emergency, incarceration, displacement due to fire.