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Palomar College Learning For Success

Evaluations Forms

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Academic Dismissal Petition for Reinstatement

Note: Your hold will be removed after December 1st if you were dismissed for the current semester. You must submit a petition for reinstatement form by email or in-person to have your hold removed.

Academic Dismissal Petition for Reinstatement Form

Purpose: Petition for reinstatement following Academic Dismissal to remove enrollment block
Location: Online or Evaluations Office, SSC-40
Location to SubmitEmail, or Evaluations Office, SSC-40
Documentation Required: None
Processing Time-frame: December 1st for current year dismissals, or within 1-2 business days for any previous year dismissal
Student Notification: Email


Academic Review Committee Petition

Academic Review Committee Petition Form

Purpose: Request an exception to an academic policy or procedure
Location: Online or Evaluations Office, SSC-40
Location to Submit: Evaluations Office, SSC-40
Documentation Required: Varies with each student’s reason for petitioning
Processing Timeframe: Typically 1-2 meetings per semester, usually near the end of the term
Student Notification: Mail


Course Repetition Petition

Course Repetition Petition Form

Important: Valid Reasons to Submit Petition

Purpose: Petition to demonstrate the necessity to retake a course in excess of the allowable limit or retake a course you have already passed
Location: Online or Evaluations Office, SSC-40
Location to SubmitEmail, or Evaluations Office, SSC-40
Documentation Required: Documents to support extenuating circumstances; see Section 5 of the College Catalog for a description of valid circumstances
Processing Timeframe: Typically 1-5 business days
Student Notification: Email


Course Substitution/Waiver Petition

Course Substitution/Waiver Petition Form

Purpose: Obtain permission from an academic department to substitute or waive a course required to complete an Associate Degree or Certificate of Achievement program
Location: Online or Evaluations Office, SSC-40
Location to Submit: Evaluations Office, SSC-40
Documentation Required: Unofficial transcripts and/or course descriptions
Processing Timeframe: Depends on the academic department, typically up to 2 weeks
Student Notification: Typically student-initiated or through degree or certificate program evaluation


Duplicate Diploma Request

Duplicate Diploma Request Form

Purpose: Request a copy of your diploma or certificate award
Location: Online or Evaluations Office, SSC-40
Location to Submit: Evaluations Office, SSC-40
Documentation Required: Possible name change documentation
Processing Timeframe: Typically within 1-3 weeks
Student Notification: Mail, or phone call to pick-up


Enrollment Priority Petition
(Evaluations Office)

Enrollment Priority Petition Form

For Group 2 Priority based on student’s last term of enrollment prior to graduation or transfer

Note: This is a once-in-a-lifetime request

Purpose: Declare a registration term as your last term of attendance prior to graduation or transfer in order to receive priority enrollment for that term. This is a once-in-a-lifetime petition for this type of priority enrollment.
Location: Online or Evaluations Office, SSC-40
Location to SubmitEmail, or Evaluations Office, SSC-40
Documentation Required: Copy of current Student Education Plan
Processing Timeframe: Typically 1-2 business days
Student Notification: Email


Foreign Transcript Evaluation Agencies

Foreign Transcript Evaluation Agencies Form

Purpose: Request an evaluation for coursework completed in a foreign country.


Health Competence Examination

Health Competence Examination Form

Purpose: This is a competence examination. No units or grade are given for this examination.


Graduation Petition

Graduation Petition Form

  • Associate Degree (60+ unit program)
  • Associate Degree for Transfer (60 unit program)
  • Certificate of Achievement (18+ unit program)
  • Certificate of Proficiency (less than 18 units)
  • Transfer Certification (37-39 units)

Purpose: Apply for degree or certificate of achievement award, or for general education lower-division certification for transfer to a university
Location: Online or Evaluations Office, SSC-40
Location to SubmitEmail, or Evaluations Office, SSC-40
Documentation Required: Possible official transcripts, test scores
Processing Timeframe: Approximate timeframes for each term:

  • Summer: 6-8 weeks
  • Fall: 6-12 weeks
  • Spring: 6-16 weeks

Student Notification: Email


Noncredit Certificate of Completion Petition

Noncredit Certificate of Completion Petition Form

Purpose: Apply for Noncredit Certificate of Completion
Location: Online or Evaluations Office, SSC-40
Location to SubmitEmail, or Evaluations Office, SSC-40
Documentation Required: None
Processing Time-frame: Within the same semester
Student Notification: Email


Requisite Clearance Request

Requisite Clearance Request Form

Note: The Evaluations Office clears prerequisites for the following courses only: 

Science lab – if related lecture if completed at another institution; ACCT 104, 110, 202; AODS/PSYC/SOC 298, 298L, 299, 299L, ASL 100L, 101, 101L, 205, 208, 215L; BIOL 145, 200, 201, 211, 212; BUS 205; CHDV 105, 105 A/B/C, 150, 195, 201; CHEM 110 Lecture (only if CHEM 110L is completed at another institution); CHEM 110 Lab (only if CHEM 110 is completed at another institution); CHEM 115, 115L, 220, 221; CSCI 210, 212, 222, 235, 250; DNCE 174; ENGR 210, 210L; GCMW 215; ID 141 MUS 110; PHYS 231, 232; PSYC 210, 225, 230; TA 174, 215, 216, 284; * Requires clearance if the related lecture is completed or in-progress at another institution

Purpose: Request a course evaluation to meet prerequisite coursework for specific courses.
Location: Online or Evaluations Office, SSC-40
Location to SubmitEmail, or Evaluations Office, SSC-40
Documentation Required: Unofficial or Official transcripts
Processing Timeframe: 3-5 business days
Student Notification: Email

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