Fill - Free fillable No Show Petition.2018 - No Show Petition.2018 PDF form

ColumbiaCollege

NOSHOWPETITION

ATTN:Admissions&Recodes

11600ColumbiaCollegeDrive

Sonora,CA95370(209)588‐5231

Thisformisforstudentswhoowefeesorhaveagradeforaclasstheyneverattended.

Petitionresponseswillbesenttothestudentemailaddresslistedbelow.

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Date:______________

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Name(print):__________________________________________________________________

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StudentID“w”#:___________________________PhoneNumber:______________________

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StudentE‐Mail:_____________________________________________@my.yosemite.edu

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StudentSignature:_______________________________________________________________

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Pleaseincludeclassname,instructorname,andterm/yearforALLclassesyoudidnotattend:

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StudentSignature:______________________________________________________________

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***ATTACHANYDOCUMENTATIONTHATVERIFIESYOUDIDNOTATTEND***

Petitionssubmittedmorethanoneyearafterthetermnamedabovemaynotbeapproveddue

totimelimitsonretentionofattendancerecords.



Petitionresponseswillbesenttotheemailaddresslistedabove



***ATTACHANYDOCUMENTATIONTHATVERIFIESYOUDIDNOTATTEND***

Petitionssubmittedmorethanoneyearafterthetermnamedabovemaynotbeapproveddue

totimelimitsonretentionofattendancerecords.



ClassName:_______________ __Section#:________Instructor:______________________Te r m/Year:__________

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ClassName:_______________ __Section#:________Instructor:______________________Te r m/Year:__________

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ClassName:_______________ __Section#:________Instructor:______________________Te r m/Year:__________

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ClassName:_______________ __Section#:________Instructor:______________________Te r m/Year:__________

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Explanation:____________________________________________________________ _____________________________

___________________________________________________________________________________________________ _

________________________________________________________________________________________________

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