Pass/No Pass GRADING REQUEST FORM

	Print and fill out this form. Sign and fax, or mail it to Columbia College:
	Columbia College, Admissions & Records Office 11600 Columbia College Drive Sonora, CA 95370 209-588-5250 209-588-5337 - FAX

    I hereby select the Pass/No Pass grading option for the class indicated below........................................

       OR

    I hereby rescind my original request for Pass/No Pass option for the following class*...........................

Name of Instructor (Print) _______________________________________________________

1.  I understand this option will not be honored if the class shown above is not offered under a Pass/No Pass option (see catalog).

2. I understand this selection may NOT be changed after the first 30% period of the class (see college calendar).

3. I understand the P/NP symbol may not be petitioned later to be changed to a letter grade.

4. I further understand the instructor will not be notified of this action.

5. I am aware that courses graded on a Pass/No Pass option may not be used to satisfy major requirements.

6. I am aware that the maximum number of credit semester units, earned under the P/NP GRADING option, that may be counted toward the Associate degree is 14.  Courses offered for P/NP grading are excluded from the 14 unit limit.

Signature_________________________________________________________ Date______________

E-Mail___________________________________________________________

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Technician Initials ____________       Date___________________