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College of the Desert Matriculation Exemption Request Purpose of this Form In accordance with Title 5 55520 students who plan to enroll at College of the Desert are to be provided with matriculation services such as assessment orientation and counseling/advising services. Please note that students will not be exempt from the admissions application and follow-up components of matriculation. Instructions Please complete the information below identifying the reason s for your exemption request and attaching copies of any documents that may help to support your request. Please allow a minimum of 2 business days for processing Name Student ID Number Phone/Cell E-Mail I am requesting an exemption of the following matriculation services check all that apply Assessment Services Orientation Services Counseling/Advising Services This request is based on the following reason s check all that apply Reason Minimum Supporting Information I have attained an AA/AS degree or higher Unofficial college transcripts or copy of college diploma I have previously taken college level coursework in English Math and/or Reading I have completed a minimum of 15 college units assessment at another CA Community College Copy of assessment score report and course placement report must include school name on score report I plan to take a course s with no pre-requisites List course s I do not plan to earn a degree/certificate at this time Initial here I certify that the information provided is true and correct to the best of my knowledge. I understand that by visiting the Counseling Center I may request to participate in these matriculation components at a later date. You may also submit these materials in-person to the front desk of the COD Counseling Center. Once reviewed you will be contacted via e-mail or telephone with information about the next step s in the registration process. Please allow a minimum of 2 business days for processing Name Student ID Number Phone/Cell E-Mail I am requesting an exemption of the following matriculation services check all that apply Assessment Services Orientation Services Counseling/Advising Services This request is based on the following reason s check all that apply Reason Minimum Supporting Information I have attained an AA/AS degree or higher Unofficial college transcripts or copy of college diploma I have previously taken college level coursework in English Math and/or Reading I have completed a minimum of 15 college units assessment at another CA Community College Copy of assessment score report and course placement report must include school name on score report I plan to take a course s with no pre-requisites List course s I do not plan to earn a degree/certificate at this time Initial here I certify that the information provided is true and correct to the best of my knowledge. Pursuant to Title 5 55532 students may be exempt from the assessment orientation and/or counseling components of matriculation if they meet certain criteria* This form is to be used by students who believe they should be exempt from assessment orientation and/or counseling/advising services.

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