EXCESS UNIT PETITION FORM
Maximum number of units per semester allowed
FALL = 18 UNITS
SPRING INTERSESSION = 7 UNITS
SPRING = 18 UNITS
SUMMER = 7 UNITS
DATE SUBMITTED: _______________________
STUDENT INFORMATION
Student ID:
Last Name:
First Name:
Phone Number:
Email:
REASON FOR REQUEST
Additional units requested:
Semester/Year:
State reason for requesting additional classes (excess units):
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
Student Signature: ___________________________________________________
FOR COUNSELOR USE ONLY
Please verify the following information and enter in CASM.
G.P.A. _________________



Good standing
Probation
Dismissal
APPROVED _____
DENIED
_____
TOTAL # OF UNITS APPROVED ______
TOTAL # OF UNITS TAKEN FOR TERM
______
COUNSELOR NAME: ______________________________________________
COUNSELOR SIGNATURE: ___________________________________________
DATE: ________________________
COMMENTS:
___________________________________________________________________________________________________
_____________________________________________________________________________________
IF APPROVED, TAKE THIS FORM TO ADMISSIONS & RECORDS.
FOR A & R OFFICE USE ONLY:
DATE RECEIVED BY ADMISSIONS & RECORDS OFFICE: _________________
PROCESSED BY: _________________________________________________
3.18.16 SSC