SSSP Exemption Petition (Workflow Final) Header Image

Student Success & Support Exemption Request

Per Title V – 55532. Exemptions:  Students may be exempt from completing Skyline College's Student Success & Support Program requirements (including orientation, assessment, counseling) if eligible.  


INSTRUCTIONS TO STUDENTS: 

Please complete the information below and indicate the reasons for your exemption request.  Attach copies of supporting documents. Submit your form and supporting document(s).


Petitions will be reviewed and processed within three-five (3-5) working days and the result will be sent to your email.

Student Information

Student Name*

Reason(s) for Exemption

Assessment - You are requesting to waive completion of English and/or Math assessments (Required document to submit: Unofficial college transcripts)

  • Completion of a college-level English and/or Math course or
  • Be currently enrolled at a four-year college or university or
  • Completed an associate degree or higher

Orientation - You are requesting to waive Skyline's Orientation (in person and online) (Required document to submit: Unofficial college transcripts)

  • You have completed at least 15.0 units or more from a California Community College or
  • Completed an associate degree or higher

Counseling - You are requesting to waive meeting with a Skyline College Counselor nor to have a Student Educational Plan (SEP) created (Required document to submit: Unofficial college transcripts)

  • Completion of a college-level English and/or Math course or 
  • Be currently enrolled at a four-year college or university or
  • Completed an associate degree or higher
I am requesting exemption from the following (check all that apply):*
I should be exempt from Skyline College's services because (check all that apply)*
No File Chosen
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Please include your full name AND G# on each page
No File Chosen
File uploads may not work on some mobile devices.
Please include your full name AND G# on each page

Student Acknowledgement

  • I certify that the information provided is true and correct.
  • I have checked the email account on this form is current.
  • I have checked that supporting documents have been uploaded correctly.
  • I accept full responsibility for my education and that I am declining to participate in services that are designed to support the achievement of my educational goals.
  • I understand I may request to participate in theses Student Success & Support Program components at a later date.
Student Acknowledgement*
Type your full name here
Use your mouse or finger to draw your signature above
Counselor Acknowledgement (Counselor Only)

Skyline College Counselor Office Use Only

Required
Both are required for processing
Counselor Action*
For "Denied" please be sure to leave detailed Comments so we can notify the student the reason(s).

(S2a) 3SP Intake

Front Desk checklist:

  • SWASSUM (verify G#, email, student type, reg., matric)
  • SOATEST (check for duplicate course request)
  • SAFAREGS (course reg. attempt of course requested)
  • SHACRSE (prior enrollment in course requested)
FD Checklist Action
Notes to Counselors
FD Petition - Incomplete Request
The message will be automatically be sent by email to students (the "FD Petition-Incomplete" field also has to checked)

(S2b) 3SP Assign Counselor

Assigned Date:*

(S3) 3SP Counselor Evaluation

Eval Date:*
Eval Counselor Action*
For "Denied" please leave detailed Comments so we can notify the student the reason(s).

(S4) 3SP Final Processing

Banner Entries:*
Date Processed:*
S4 Petition Status*