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Forms

Forms and Information

ACADEMIC RECORDS
 Submit completed form  to the Admissions and Records Office on Campus. If you are using non-Peralta courses to qualify for academic renewal, official transcripts must be attached or on file in Admissions & Records prior to submitting this form  

 By filling out this form you give permission for others to view and have access to your student records.
 Submit form  to the Admissions and Records Office on Campus. 
 Submit the completed form  to the Admissions and Records Office on Campus. Non-Peralta Transcripts to be Evaluated for Certification  MUST be on file in the District Admissions & Records Office.  

 Information on how to order your official transcripts. 
 Upon approval, the instructor must submit the form promptly to the Admissions and Records Office on campus for processing.
 To request a grade change. The instructor will need to initiate the Request of Record Correction. 
 To make changes to your official academic records such as Name, SS#, DOB, Major, etc. Submit the completed form and supporting documents to the Admissions and Records Office on Campus.  

COUNSELING: STUDENT SUCCESS & SUPPORT SERVICES (SSSP)
For dismissed students who were reinstated for the current academic semester and a) want to add any additional courses or b) are now registering for the next term. Meet with a counselor to discuss Continued Enrollment after Reinstatement from Dismissal.  

Although all students are strongly encouraged and welcomed to participate in the Student Support and Success Program, certain students may meet criteria for exemption from these services. Take the completed petition and supporting documentation to a Counselor for review.  

Student will need to see a counselor to complete the petition (30-minute appointment recommended).
Student will need to schedule a mandatory appointment to meet with a counselor. Bring completed petition to your appointment.

DEGREES & CERTIFICATES PETITIONS 

Petitions must be filed by appointment with a counselor. Official transcripts of any coursework completed outside Peralta District must be on file prior to requesting the evaluation or accompany the petition.  

Review the certificate requirements prior to making an appointment to meet with a counselor for an evaluation to petition for a certificate.
Use this form to request a duplicate degree or certificate. Submit form  to the Admissions and Records Office on Campus. 
ELEMENTARY, MIDDLE SCHOOL & HIGH SCHOOL STUDENTS
Submit the completed admissions application and the Elementary and Middle School Special Enrollment form to the Admissions & Records office.  

To enroll, submit the High School Special Enrollment form in person to the Admissions & Records Office on campus. You must fill out a separate form for each semester you wish to attend.  

ENROLLMENT FEE EXEMPTIONS

Submit the completed form and supporting documentation to the Vice President of Student Services Office.  

Submit form to your college Bursar’s Office
Submit the completed form and supporting documentation to the Vice President of Student Services Office.
PETITIONS: ALTERNATIVES TO COURSE CREDITS
To apply for AP, IB, or CLEP examination  credit towards an Associate Degree General Education Requirement or CSU GE Breadth certification. Take the completed petition and supporting documentation to a Counselor for review.  

 Submit completed petition and supporting documentation to the Division Department Dean for review. 
Submit completed form to the Admissions and Records Office on campus. 
REGISTRATION
To add or drop classes in person. Submit Add and Drop cards to the Admissions and Records Office on campus.   

 

Course Repetition

 

To challenge a prerequisite or co-requisite.Submit the completed petition with your supporting justification/documentation to the Admissions and Records Office.   

To appeal for Priority Registration.Submit form to your academic counselor.
  RESIDENCY
 This exemption is available to certain nonresident students who meet a specific set of requirements as outlined in the instructions. Submit the completed form and supporting documents to the Admissions and Records Office on Campus.  

Residency Reclassification:  The Residency Questionnaire will ensure proper determination of residency status for tuition purposes pursuant to Education Code Section 68041. Submit the completed form and supporting documents to the Admissions and Records Office on Campus.  

 

  • Admissions & Records

    Wednesday 7 December 2016
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    The district comprises four campuses serving northern Alameda County.
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