ORANGE COUNTY COMMUNITY COLLEGE
MIDDLETOWN, NY 10940
NEWBURGH, NY  12550

ASSESSMENT WAIVER REQUEST

A WAIVER FROM THE ENGLISH PORTION OF THE ASSESSMENT WILL BE GRANTED FOR COMPLETION OF FRESHMAN ENGLISH I WITH A GRADE OF C (2.0) OR BETTER. A WAIVER FROM THE MATH PORTION WILL BE GRANTED FOR COMPLETION OF ANY COLLEGE -LEVEL MATH COURSE WITH A GRADE OF C (2.0) OR BETTER. ALL COURSES MUST HAVE BEEN TAKEN AT AN ACCREDITED COLLEGE OR UNIVERSITY.
(Developmental or Preparatory courses do not meet the requirements for a waiver)

A WAIVER DOES NOT GUARANTEE TRANSFER CREDIT. ALL TRANSFER CREDIT FROM OTHER COLLEGES MUST BE EVALUATED BY THE OFFICE OF ACADEMIC SERVICES.

NAME: ______________________________________S.S. #___________________________
                                                                                                    (optional)
STREET ________________________________________D.O.B._______________________

CITY/STATE/ZIP _________________________________MAJOR______________________
                                                        
                                               BEGINNING SEM. sp.   su.  fa.________

                 ENGLISH WAIVER REQUEST                            MATH WAIVER REQUEST

Course Title _________________________    Course Title ___________________________

Course Number_______________________  Course Number_________________________

Completed at _________________________  Completed at__________________________

Semester/Year _______________________    Semester/Year_________________________

* If it has been some time since you last took a math course, an unofficial Assessment would be recommended for proper placement.

A waiver will be evaluated upon receipt of proper documentation (official or unofficial transcript, grade report, AP scores {3.0 or better}, CLEP results)


Signature _______________________________          Date _______________________

Please return completed form to the Advising and Counseling Center.
                                                                         


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