ࡱ> AC@] bjbj 4*!b!b <LmzhhhhhC&i u$!}CC}}hh'}"hh} hp*%.=0m,M"M" M" }}}}}}}g}}}m}}}}M"}}}}}}}}}B : LOS ANGELES MISSION COLLEGEGENERAL PETITION * Received By: Date/Initials______________________ Advisory: This petition is not to be used for GRADE CHANGE, Academic Renewal, Course Repetition, or Credit by Exam. Current or Previous (Applicable) Semester/Year: ____________________________________ _________________________________________ __________________________________________________ Students Name TV Student Email Address _____________________________________________ ___________________ _____________________________________ Student Identification Number Birth date Todays Date _________________________________________________ ___________________ _____________________________________ Students Signature Cell Phone: Home Phone: Best time to call *Please state the primary reason for your General Petition: _____________________________________________________ All general petitions should give a full statement and explanation of the request, the semester year and term, and name of classes. Please attach any supporting documents or evidence which supports your petition. If additional space is required to explain your request, please continue on the back. The response to this petition will be mailed to above address. ________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________________ FOR ADMISSIONS AND RECORDS USE ONLY ACTION: COMMENTS/REMARKS: ______ Approved ______ Denied _______________________________________________ ______ Returned (No Action) _______________________________________________________ _______________________________________________________ ___________________________________ _______________________________________________________ Signed By VP, Student Services/Supervisor/Designees Supervisor and/or Designees Comments/Signature/Date ___________________________________________________________________________________ ___________________________________________________________________________________ ___________________________________________________________________________________ _________________________________________________________________________________________________ _________________________________________________________________________________________________ Processed By/Date: _______________________ Date response given/mailed:________________________________ Revised 01/2018  ,-./0;Kbcklnz~ºrfWfWfWfWhN4GhK56>*CJaJhN4G56>*CJaJhN4Gh*O56>*CJaJhN4GhKCJaJhN4GhN4GCJaJhN4GhN4G5CJaJhN4GhN4G56>*CJaJhTACJaJhTACJaJ htE5hTAh?hTA56>*hlquCJaJhx56CJ aJ hN4G56CJ aJ hTAhK56CJ aJ /0bc/ 0 E 7 gdK -DM gdK -DM gd s$-DM a$gd]l -DM gd]l$-DM a$gdTAh-DM ^hgd]l$ & F-DM a$gdlqu   / 0 9  οο~wslhs]UMEMhrCJaJhKCJaJhpCJaJh]lh?*CJaJh d hl8h dh]l hl8h]lhh~=h]lCJaJhN4Gh]lCJaJhN4Gh0CJaJhN4Gh*O5CJaJhN4GhK56>*CJaJhN4Gh/c56>*CJaJhN4G56>*CJaJhN4Gh*OCJaJhN4GhKCJaJhN4Ghh56>*CJaJ   3 7 k  , 0 5 6 J  # * - ] a b f n Ŷ{phph"CJaJh=h\BTCJaJhnhn56CJaJhr56CJaJhn56CJaJh56CJaJhP56>*䴳56>*䴳P56C$$<hrh5hiKrh\BThN4GhK hKhKCJOJQJ^JaJ&7 b 567_kd$$Ifl,H-  t 0644 l` ap yti^< $$Ifa$gdPgdK gdiKrgdiKr 6 7 \ c +567>bǹxjx_VMAhhh=5CJaJh[95CJaJhvN5CJaJh h=CJaJhPhP56CJaJhPh=56CJaJheCJ$aJ$hCJ$aJ$h=CJ$aJ$h=CJaJhuCJaJh=h=CJaJhN4Gh\BT56CJaJhN4Gh\BT56>*CJaJhN4Gh'w56>*CJaJhRCJaJh=h\BTCJaJh'wCJaJblmw{~67tiaYaQahnNSCJaJhN4GCJaJhRCJaJhvN56CJaJhOF)56CJaJhOF)hOF)56>*CJaJhOF)CJaJh=CJ aJ hTACJaJhRCJaJhhh=CJaJh=CJaJh=h=CJaJhhhw4n5CJaJhhh=5CJaJh,5CJaJh[95CJaJhh5CJaJ6u =t89 $`a$gdiKrgdQgdOF)gdTAgdK&.78<=78qst9<=ļĬ|tld\TLh-CJaJhCJaJhiKrCJaJhOF)CJaJhQCJ aJ hhCJ aJ hw4nCJ aJ hw4nCJaJhTACJaJhOF)CJaJhQCJaJhTACJ aJ hMVCJaJhTACJaJh/CJaJhRCJaJh^hOF)CJaJh^h*OCJaJhQCJaJh^hRCJaJh^hN4GCJaJ=@MNdjrwx~ymh$h$6CJ aJ ,jh"h[<CJ OJQJU^JaJ h$CJ aJ hA^sCJ aJ hNCJaJhuCJaJhiKrCJaJhQCJ aJ hNCJaJhCJaJhwCJaJh {CJaJhwCJaJhMVCJaJh-CJaJhCJaJ21h:pN4G/ =!"#$% $$If!vh#vH-:V l  t 065H-` p yti^<Dd9Q gJ  C A"@@bHW~9mg $nW~9mg PNG  IHDR9Q5HgAMAPLTEٟ pHYs==N=bIDATx=0`i((9kCʤH##PR0&$_xg&Py~2zOҚa.xZiR6gpڡq}!Ĺ sSxMጠASرN8ʐeC q,  MN t%80 "Cwf 1#l\g>.,2i26e$m÷ o Tc fUVv ; [ 6'AMI/#*dzQ!ˈ X[l8,2X7T 7zCMP񇰣p,–PCsxv'O'ay1| -Y*М=YXs:|DXO 6yҬx&7P Pݡ˰^ /x-|ph+yߣ5}8y/xoF&ߞÞ"9<.fҮx{ћ[Yg u߇\]d=6hC.K vGbfazSfbءH(AxO`Mw,i- o}Þ%]0$9ÐțnWC75$ }xSC¨ǐ0;oCxOO]7 ![;"bh8}Cé>"zZoޱ2m@MoD{q2LVv0gHžo"p&&FnY֐loȡC+W!/lOB/V;:J[UX=:rOI4:tga'v. ؜v< q ^s7CkO<IENDB`s2 0@P`p2( 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p 0@P`p8XV~ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@ 0@_HmH nH sH tH 8`8 KNormal_HmH sH tH DA`D Default Paragraph FontRi@R  Table Normal4 l4a (k (No List jj = Table Grid7:V0PK![Content_Types].xmlN0EH-J@%ǎǢ|ș$زULTB l,3;rØJB+$G]7O٭Vc:E3v@P~Ds |w< * b= 7  8@0(  B S  ?_PictureBullets r 9 3     &       &  S~bt;^`OJQJo(hH^`OJQJo(hHpp^p`OJQJo(hH@ @ ^@ `OJQJo(hH^`OJQJo(hH^`OJQJo(hH^`OJQJo(hH^`OJQJo(hHPP^P`OJQJo(hHS~bf80U2rlʽ x4dH*IChgk$[9,P "gm#&OF)Y)?*05tE5M6i^<~=TAB8BCBN4GJvN*ORRnNS\BTTUMV[@a7ca4b/cggDinw4n HooJpqriKr sA^slquPvw'wx {:<KQdKw d?^JveG/^w5-GH!^Qp^uz=`Rt#hNCg]ll8Ap|4u* @   @UnknownG.[x Times New Roman5Symbol3. .Cx ArialK,Bookman Old Style5. .[`)TahomaA$BCambria Math"1hl8ag6E?BRoot Entry Fp*%DData 1Table]"WordDocument4*SummaryInformation(0DocumentSummaryInformation88CompObjr  F Microsoft Word 97-2003 Document MSWordDocWord.Document.89q