Petition to Challenge Prerequisite or Co-requisite

*It is your responsibility to provide compelling evidence to support your challenge.
*Upload the completed form with a personal statement, and documentation.
*Incomplete packets will not be processed.
*In-progress coursework at other institutions will not be considered.

NOTE: SUBMISSION DEADLINE: 10 BUSINESS DAYS PRIOR TO THE START OF SEMESTER FOR GUARANTEED CONSIDERATION.

Full Name: Full Name: First Middle Last
Student ID# G00:
Contact Number: Contact Number: - ### - ### ####
IVC Email:
Enter the course for which you are trying to enroll and the prerequisite for those courses.

You can refer to the course descriptions in the IVC Catalog for information on prerequisites.
What semester are you petitioning for:
IVC course you want to take:
IVC's Prerequisite for this course:
Class you took at another institution (list course & number):
Attach unofficial transcript here:

Attach Files
Check the box that describes the basis upon which your challenge is made:

Documentation is required for your challenge. If applicable, include copies of professional license(s), industry certifications, verification by employers of work performed on the job, and any other documentation that will support your petition. If needed, a personal statement explaining the reasons for your challenge.

NOTE: If unsure which option to select, please contact a counselor.
Please choose this option if utilizing coursework completed, (transcript required):

Please choose this option if utilizing coursework completed, (transcript required): I challenge the prerequisite or corequisite on the basis that I possess the knowledge, ability, and skills to succeed in the course without meeting the prerequisite or corequisite.
For non coursework related issues, select one of the following, (written statement required):

For non coursework related issues, select one of the following, (written statement required): I challenge the prerequisite or corequisite on the basis that it has not been established in accordance with the district policy. I challenge the prerequisite or corequisite on the basis that it is in violation of Title 5. I challenge the prerequisite or corequisite on the basis that it is discriminatory or is applied in a discriminatory manner. I challenge the prerequisite or corequisite on the basis that I will be subjected to undue delay in attaining my education goal because the prerequisite or corequisite has not been made reasonably available.
Upload written statement along with an IVC student ID or a government issued picture ID:

Attach Files
Student Signature:

Draw or Type

I understand this is a legal representation of my signature.
Use mouse to sign. Clear

Full Name

I understand this is a legal representation of my signature.
Use mouse to sign.

Petition to Challenge Prerequisite or Co-requisite

Petition to Challenge Prerequisite or Co-requisite

Enter the course for which you are trying to enroll and the prerequisite for those courses.

Check the box that describes the basis upon which your challenge is made: