PASADENA CITY COLLEGE
Office of Admissions and Records
REQUEST TO COUNT HIGHER GRADE
(COURSE REPETITION)
This form is used when:
You have repeated a course originally completed at PCC in which you received a substandard grade
(D or F).
The grade earned in the course repeat is a C or better.
You are requesting that the original substandard grade be disregarded from your PCC GPA.
PLEASE BE AWARE THAT THE ORIGINAL GRADE WILL APPEAR ON YOUR PCC RECORD AND WILL
NOT BE CHANGED OR REMOVED.
IF YOU REPEATED THE EQUIVALENT COURSE AT AN INSTITUTION OTHER THAN PCC, YOU MUST
HAVE AN OFFICIAL, SEALED TRANSCRIPT SHOWING SUCCESSFUL COMPLETION OF THE
COURSE MAILED TO THE PCC RECORDS OFFICE 15 BUSINESS DAYS BEFORE FILING THIS
FORM.
Other College/University Official Transcripts already submitted (required)
Date:__________________ E-Mail (required): _______________________________________
Name: ___________________________________________________________________________
(Please Print) Last First M.I.
PCC ID # : __________________________________________ Birthdate:____________________
Address: _________________________________________________________________________
______________________________________ Contact Number ___________________________
Course Repeated ___________________________________________________________________
Course Title and Number
Term/Year substandard grade was received at PCC: ________________________________________
Term/Year course repeated:____________________________________________________________
Institution at which course was repeated: _________________________________________________
Student Signature ___________________________________________________________________
Petitions Committee Action: Approve Disapprove Approve the following:
Comments:_________________________________________________________________________
__________________________________________________________________________________
__________________________________________________________________________________
Date posted to Student Record ______________________ Initials___________
ADM257 9/14
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