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


Bachelor’s Degree Confirmation

Bachelor’s Degree Confirmation Form 

Purpose: Request a review of completed Bachelor’s degree in order to determine if it meets the general education/district requirements.
Location: Online or Evaluations Office, SSC-40
Location to Submit: Email, or Evaluations Office, SSC-40
Processing Timeframe: Typically 1-5 business days
Student Notification: Email


Catalog Retention Request

Catalog Retention Request 

Purpose: Request a change to any catalog year that was in effect during the student’s enrollment.
Location: Online or Evaluations Office, SSC-40
Location to Submit: Email, or Evaluations Office, SSC-40
Processing Timeframe: Typically 1-5 business days
Student Notification: Email


Petition to Repeat a Course

Petition to Repeat a Course

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

PLEASE NOTE: THIS FORM IS NOT TO BE USED TO CLEAR A PREREQUISITE
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 Exception Petition

Requisite Exception Petition Form
*Students must be logged into MyPalomar before clicking on the link

Purpose: Students wanting to enroll in a class using high school credit (for world languages ONLY) or who have not met the prerequisite but have a valid reason to bypass the prerequisite can submit the Requisite Exception Petition. This form is routed to the academic department for review by the Department Chair and Dean. Students will need to be logged in to MyPalomar to access the link and will receive a response via email.


Requisite Clearance Request

Requisite Clearance Request Form

  • If the prerequisite is only a Math or English class, please contact assessment@palomar.edu to request clearance.
  • If the prerequisite is a Math or English class plus another class, please submit a requisite clearance form. (Example: MATH 245 has prerequisites of MATH 130 or 140 plus CSCI 112.)
  • If the prerequisite is a class other than math or English, please submit a requisite clearance form.

Note: The Evaluations Office cannot clear prerequisites using high school coursework. We are only able to clear prerequisites with college coursework or test scores such as AP. If you do not meet the prerequisites for a class, you can contact the academic department directly and submit a Requisite Exception Petition Form (*Students must be logged into MyPalomar before clicking on the link).

CHEM 110/110L clearance: The Chemistry department requires completion of CHEM 100 plus Intermediate Algebra (or higher-level math) in order to be cleared to take CHEM 110/110L. High school coursework is not accepted. If you have not taken a Fundamentals of Chemistry class with a lab at the college level plus an approved math course, the Evaluations Office cannot clear you for CHEM 110/110L. Please contact the Chemistry department directly for further questions.

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: 1-2 business days
Student Notification: Email