Petition: High School Unit Limit (over 11 units)-LIVE

Petition for High School Unit Limit (over 11 units)

NOTE: High School students choosing to petition to enroll in over 11 units are responsible for all fees for the total number of units enrolled in the semester or term. Example: If a student is approved to be enrolled for 15 total units the student will owe $690.00 ($46.00 x 15 units). In addition dual enrolled students must pay the student representation fee, the student health fee, and any course fees.

Request for High School Unit Limit (over 11 units) Instructions:

Attach email from high school principal or counselor approving that you may exceed the high school limit
Student should review High School Dual Enrollment (Special Admit) Expectations and Responsibilities
All classes over the limit MUST be included on the High School Dual Enrollment Request Form
Petitions not adhering to these instructions will be returned or denied

FormTitle*

Name*

First Name

Last Name

SRJC Student ID Number (SID)*

Numbers only. NO DASHES

Birthdate*

Email*

Semester*

Year*

Please provide explanation of why you want to exceed the high school limit.*

How many classes are you petitioning for?*

Please attach a letter from the high school principal or counselor approving the student may exceed the high school limit, (must be on high school letterhead).*

No File Chosen

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Attach appropriate documentation. File formats accepted: jpg,jpeg,gif,png,bmp,tif,psd,pdf

Class #1

Course Title 1*

Example: Math 1A

Section Number 1*

4 digit section number. Example: 4244

Instructor Name 1*

Class #2

Course Title 2*

Example: Math 1A

Section Number 2*

4 digit section number. Example: 4244

Instructor Name 2*

Class #3

Course Title 3 *

Example: Math 1A

Section Number 3*

4 digit section number. Example: 4244

Instructor Name 3*

Class #4

Course Title 4*

Example: Math 1A

Section Number 4*

4 digit section number. Example: 4244

Instructor Name 4*

Student Acknowledgement and Signature

The student understands in choosing to enroll full time in the semester indicated that they will be responsible for ALL registration fees including enrollment fees of $46.00 per unit. Example: If a student is approved to be enrolled for 15 total units the student will owe $690.00 ($46.00 x 15 units). In addition dual enrolled students must pay the student representation fee, the student health fee, and any course fees. *

Yes No

Please note: You will not be charged at the time of registration, you will be charged manually by Admissions & Records approximately three weeks into the semester.

Signature*

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Use your mouse or finger to draw your signature above