H ARTNELL C OLLEGE
411 Central Ave.  Salinas, CA 93901  Phone: 831-755-6711  Fax: 831-759-6014
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Instructions: Complete the student information part of this form, meet with a Counselor, and submit the completed form to Admissions & Records in B-
121. You may also fax the completed form to (831) 759-6014. You MUST provide all the information requested. Missing information will result in automatic denial of your clearance request. See the back of this form for the procedures.
• Completed College Coursework or AP: Transcript or AP score report must be attached to this clearance form.
• CSU EAP or EPT/ELM: Attach a copy of your CSU EAP or EPT/ELM test results to this clearance form.
S TUDENT I NFORMATION
Hartnell ID (or Soc. Sec. Num.) (Must Provide) : Name (Must Provide) :
Phone (Must Provide) : Email (Must Provide) :
Clearance
Requested:
C OLLEGE I NFORMATION (W HERE C OURSEWORK WAS C OMPLETED )

(Note: transcript and course descriptions must be attached)
Exempt from Orientation  Student has an AA/AS or higher degree
Course
Completed
(Ex. English 1A)
College/University:
Semester/Quarter
& Year
Grade
Received
Course You Plan to
Enroll In
(Ex. English 1B)
English
Math
Clearance
Requested:
English
A DVANCED P LACEMENT T EST (Note: AP report must be attached)
AP Test Completed
(Check one)
 AP English: Language & Composition (ENG-1A + 3 Elective)
Year
Taken
Minimum
Score of 3 required
 AP English: Literature & Composition (ENG-1A + ENG-1B) (CSU Only)
 AP Math: Statistics (MAT-13)
Course Placement
Math
 AP Math: Calculus AB or Calculus BC (MAT-3A)
CSU T EST R ESULTS (Note: CSU EAP or EPT/ELM results must be attached)
Assessment Completed (within 5 years)
Total
Score
Received
Test
Date
Course
Placement
 English Placement Test (EAP or EPT)
• English 1A placement: EAP - “Exempt” or “Ready for college-level courses status”
CSU EPT - A score of 147
 Entry Level Math (EAP or ELM)
• Any course with Math 123 Intermediate Algebra as a prerequisite placement: EAP -
“Exempt” or “Ready for college-level courses status” CSU ELM- A score of 50+
I declare that the information I have provided above is true and correct, and that the document attached is my academic record. I further understand that
Hartnell will evaluate it, and that it will become part of my Hartnell academic record.
__________________________________________________ _
Signature/Date
Decision: APPROVED / DISAPPROVED
O FFICE U SE O NLY
Counselor Signature/Date:
Received by A&R Initials/Date:
Decision: APPROVED / DISAPPROVED Posted by Initials/Date:
A&R: bg/md: DRAFT #2 3-13-14

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In order for Hartnell College to consider prerequisite clearance requests, students must submit all of the following information:
1.
Complete the student information part of this form. Any missing information will result in non-consideration of your request.
You will not be informed if any information is missing. It is your responsibility to ensure that we receive ALL documentation.
• If requesting a clearance based on relevant completed COLLEGE coursework , you must attach an unofficial or official college transcript clearly noting the college/university where the course was taken, semester/quarter taken, and grade received.
 If you have an Associate Degree or higher degree, you may attach a copy of your college/university diploma. You will be exempted from College Orientation. You will also be cleared for any course that has ENG-1A as a prerequisite and MAT-123 as a prerequisite. If you wish to be cleared for a higher level Math course, then you will need to provide a copy of your college/university transcript.
• If requesting a clearance based on an Advanced Placement (AP) Test , you must attach an AP Score Report from the
•
College Board
( https://apscore.collegeboard.org). The report must clearly note the test taken, year completed, and score received.
Only scores of 3, 4, or 5 are considered. High school transcripts cannot be used to satisfy this documentation requirement.
If requesting a clearance based on an CSU EAP or EPT/ELM test , you must attach test results from the Educational Testing
Services ( https://www.ets.org
)
The report must clearly note the test taken, year completed, and score received. Only EAP- Exempt or Ready for College-level
English Course status, or CSU- EPT 147+ points. For Math, EAP-Exempt or Ready for College-level Math Course status or on the CSU ELM a score of 50+ will be accepted. The test must have been taken within the last 5 years.
2.
3.
• High school coursework will not be used for prerequisite clearances unless the course prerequisite clearly states that high school credit can be used.
Take this form over to the Counseling Department (B-119) and ask to speak to a Counselor. Upon meeting with a Counselor, they will review your form and documents and will make a determination regarding the course equivalency.
Upon approval from the Counselor, submit the completed form along with your documentation to the Admissions & Records
Department (B-121). Please note that processing requests may take up to 3 working days. Clearances are granted electronically and placed onto your academic record. You may review our decision by login in to the PAWS for Students and register for the section in which you have been cleared. You will only be contacted by email only if the clearance has been denied. You can check if you have been approved for an Orientation Exemption by clicking on Test Summary.
FOR DISTANCE EDUCATION (ONLINE STUDENTS ONLY):
1.
If you are a Distance Ed (online) student, you may fax or scan and email to (xxxx@hartnell.edu) this form along with the supporting documentation to the Counseling Department at 831-770-6138. A Counselor will review your form and documentation and will make a determination regarding the course equivalency.
2.
Upon approval from the Counselor, the documentation will be given to the Admissions & Records Department for processing. Please note that processing requests may take up to 3 working days. Clearances are granted electronically and placed into your academic record.
You may review our decision by login in to the PAWS for Students and register for the section in which you have been cleared. You will only be contacted by email only if the clearance has been denied. You can check if you have been approved for an Orientation
Exemption by clicking on Test Summary.

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411 Central Ave.  Salinas, CA 93901  Phone: 831-759-6054  Fax: 831-770-6175
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Instructions: Complete the student information part of this form , meet with a Counselor, and submit the completed form to the
Assessment Office in B-106A. You may also fax the completed form to (831) 759-6175. See the back of this form for the procedures. You MUST provide all the information requested. Missing information will result in automatic denial of your clearance request.
S TUDENT I NFORMATION
Hartnell ID (or Soc. Sec. Num.) (Must Provide) : Name (Must Provide) :
Phone (Must Provide) : Email (Must Provide) :
College:
C ALIFORNIA C OMMUNITY C OLLEGE I NFORMATION
(W HERE A SSESSMENT WAS C OMPLETED WITHIN LAST TWO YEARS )
(Note: scores must be attached)
English Placement: Math Placement:
Assessment Completed
H ARTNELL C OLLEGE A SSESSMENT R ESULTS
Raw Score
Received
Course
Placement
Date Taken
New Course
Placement to be determined by
Counselor
English (must take both):
 ACCUPLACER Reading Comprehension
 ACCUPLACER Sentence Skills
Math:
 ACCUPLACER Math
ESL:
 Essay
S TUDENT M ULTIPLE M EASURES I NFORMATION
(A LL DOCUMENTATION MUST BE ATTACHED )
Check ALL of the following that apply:
 A-1 Previous educational records (high school GPA, prior college experience, degree from a foreign college/university
 A-2 Number of years of English and/or math completed (high school and college considered)
 A-3 Recency of English and/or math course taken
 A-4 Last time enrolled in academic setting
 A-5 Number of units being attempted for the semester
 A-6 Employment plans while enrolled (full time, part time, number of hours)
 A-7 Other obligations/responsibilities (family, caretaker)
 A-8 Primary language spoken
 A-9 Interest in subject
 A-10 Motivation for success
 A-11 Learning disabilities
 A-12 Education level in first language (if applicable)
 A-13 Educational Experience – Math Academy, Summer Bridge with follow up assessment
I declare that the information I have provided above is true and correct, and that the document attached is my academic record. I further understand that Hartnell will evaluate it, and that it will become part of my Hartnell academic record.
_________________________________________________
Signature/Date
Decision: APPROVED / DISAPPROVED
O FFICE U SE O NLY
Counselor Signature/Date:
A&R: bg/md: DRAFT #2 3-13-14
Posted by Initials/Date:

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In order for Hartnell College to consider prerequisite clearance requests, students must submit all of the following information:
1.
Complete the student information part of the form. Any missing information will result in non-consideration of your request. You will not be informed if any information is missing. It is your responsibility to ensure that we receive
ALL documentation.
1.
If requesting a clearance based on completing an Assessment at another California Community College, you must attach a copy of the assessment showing the following:
 Your name
 Name of the community college
 Year the assessment was completed (must be within the last two years)
 Assessment scores and placement
2.
If requesting a clearance based on multiple measures, you must attach a copy of your most recent Hartnell
2.
3.
assessment scores. You may also provide a copy of your high school or college transcript as supporting documentation.
Take this form over to the Counseling Department (B-119) and ask to speak to a Counselor. Upon meeting with a
Counselor, they will review your form and documents and will make a determination regarding your assessment placement.
Upon approval from the Counselor, submit the completed form along with your documentation to the Assessment
Office (B-106A). Please note that processing requests may take up to 3 working days. Clearances are granted electronically and placed onto your academic record. You may review our decision by login in to the PAWS for
Students. You can check if your request for a clearance has been approved by clicking on Test Summary.
You will only be contacted by email only if the clearance has been denied.
FOR DISTANCE EDUCATION (ONLINE STUDENTS ONLY):
1.
If you are a Distance Ed (online) student, you may fax or scan and email to (xxxx@hartnell.edu) this form along with the supporting documentation to the Counseling Department at 831-770-6138. A Counselor will review your form and documentation and will make a determination regarding the course equivalency.
2.
Upon approval from the Counselor, he/or will walk the form along with your documentation to the Assessment
Office. Please note that processing requests may take up to 3 working days. Clearances are granted electronically and placed onto your academic record. You may review our decision by login in to the PAWS for Students. You can check if your request for a clearance has been approved by clicking on Test Summary. You will only be contacted by email only if the clearance has been denied.

HARTNELL COLLEGE
PREREQUISITE CHALLENGE FORM
Name:
I wish to enroll in:
Student ID: Phone:
(DOCUMENTATION MUST BE ATTACHED TO THIS PETITION)
It is the responsibility of the student to provide compelling evidence to support the Challenge.
I wish to challenge prerequisite:
COURSE:
SECTION # :
TERM:
PREREQUISITE CHALLENGE PROCEDURES
Check the box which applies to you:
1.
Challenging the prerequisite on the grounds that it was established in violation of regulation or in violation of the District
approved processes (student statement and appropriate documentation required).
I understand that I must submit the petition to the Division Dean or designee.
Students wishing to appeal the decision of the Dean, may do so by meeting with the Vice President of Academic Affairs or designee.
2.
Challenging the prerequisite on the grounds that is has not been made reasonably available (at least once a year) .
I understand that I must submit the petition to the Division Dean or designee.
Students wishing to appeal the decision of the Dean, may do so by meeting with the Vice President of Academic Affairs or designee.
3.
The prerequisite is discriminatory or applied in a discriminatory manner (student documentation required) .
I understand that I must submit documentary evidence to the Division Dean or designee.
Students wishing to appeal the decision of the Dean, may do so by meeting with the Vice President of Academic Affairs or designee.
4.
Challenging the prerequisite based on my knowledge or ability to succeed in the course despite not meeting the prerequisite
(student documentation required e.g. work experience, self-study).
I understand that I must seek approval from a full time faculty member(s) to evaluate the documentation. (If the discipline of the prerequisite differs from the discipline of the requisite course I wish to enroll, two signatures are required by two separate full time faculty members.
)
I acknowledge that Hartnell College has determined that this prerequisite is necessary for success in the course and that I a m taking personal responsibility for succeeding without this prerequisite. Upon approval of this Challenge Form, I may enroll in the class by presenting this form to the Admissions & Records Office by the registration deadline. If this challenge is not approved, I understand that I may not enroll in this course.
Student Signature Date
An appropriate instructor has evaluated the attached documentation.
The following is recommended:
Approved Disapproved
Prerequisite Full Time Faculty Signature
An appropriate instructor has evaluated the attached documentation.
The following is recommended:
Approved Disapproved
Division Dean or designee has consulted with the instructor.
The following is recommended:
Approved
Received by A&R:
Disapproved
Challenged Posted by:
Requisite Full Time Faculty Signature
Dean or designee Signature
Date:
Date
Date
Date

COURSE PREREQUISITE POLICY
The college REQUIRES all such prerequisites, co-requisites and advisories shall be established in accordance with the standards set out in Title 5. Any prerequisite, co-requisite, or advisories shall be necessary and appropriate for achieving the purpose for which they are established. The procedure shall include a way in which a prerequisite or co-requisite may be challenged by a student on grounds permitted by law. Prerequisites, co-requisites and advisories shall be identified in District publications available to students.
PROCEDURES FOR PREREQUISITE CHALLENGE
A student may challenge a prerequisite for the following reasons:
•
The College has not developed the prerequisite according to its established procedures or has not developed the prerequisite in accord with existing statutes.
•
The student has documented knowledge and abilities equivalent to those specified in the prerequisite course.
•
The College has not made the prerequisite course reasonably available.
•
The prerequisite is discriminatory or is being applied in a discriminatory fashion.
Student Instructions
Step 1 Pick up Prerequisite Challenge Form in the Admissions and Records Office or the Counseling
Step 2
Step 3
Step 4
Step 5
Step 6
Department.
Complete and sign the form. Attach all required documents to challenge form.
Request a full time faculty member(s) from appropriate discipline(s) to evaluate documentation for approval.
Upon faculty recommendation, submit the challenge form to the Division Dean for final approval.
Upon Dean’s recommendation, submit challenge form to Admissions and Records for processing and completing registration. During the add period, it is the student’s responsibility to show proof of an add code to complete registration.
Pay appropriate fees for the course.
Administrative Instructions
Step 1 Full time faculty will evaluate documentation and notify student within 5 instructional days.
Step 2
Step 3
Step 4
Upon submission, Division Dean will make final determination and notify the student within 5 instructional days.
Upon approval, Admissions and Records will post challenge and complete registration.
Division Dean will forward disapproved challenge forms to Admissions and Records.
A.A./rg Revised 03/11/14
Curriculum Committee Approved – 4/27/95
Board Approved – 8/1/95