Forms

***SECURE SUBMISSION***

This link is to be used when you need to initiate a form submittal electronically to Admissions & Records.
Complete the form making sure you identify what action you need us to take and attach any forms you must present or have signed.

COVID-19 EXCUSED WITHDRAWAL/REFUND REQUEST

This form is used to request an Excused Withdrawal due to the COVID-19 emergency. Refunds only apply to enrollment fees (per unit fee) and nonresident tuition. We recommend you contact your Counseling Office, Financial Aid Office, Transfer Office or other programs in which you are enrolled (ex: CalWorks, EOPS, Veterans, etc.) to better understand the potential consequences for requesting an Excused Withdrawal. The last day to submit this request is May 14, 2021.

 

Pass/NoPass Request
Not all courses allow the option of Pass/NoPass grading.  Check the college catalog for more information.  The request must be made before 30% of the course has passed.  Once requested it may not be revoked. 

Application for Admissions

Dual Enrollment

  • Recommendation for Dual Enrollment & Memorandum of Understanding 

    Required for every semester of attendance under Dual Enrollment and signed by the student’s school principal or counselor and a parent. The Memorandum of Understanding provides parents supplemental information regarding the admission of minors to the Ventura County Community Colleges.  

Duplicate Degree/Certificate Request

California Residency

 

AB 540 Affidavit 

Change Personal Information

Authorization To Release Information

  • Authorization to Release Education Record Information

    This form is to be used when you need Moorpark College to formally certify your enrollment and/or GPA for any reason including health insurance, good student automobile insurance discounts, and loan deferrals.  Because your academic records are private and confidential, they cannot be released without your written consent as provided on this authorization. Complete the authorization making sure you identify what action you need us to take and attach any forms you need us to sign. 

     

Petition for Excused Withdrawal

  • Petition for Excused Withdrawal

    An EW grade can be approved where a student withdraws from a course due to reasons beyond their control and must be supported by verifiable documentation. Effective on or after January 2018, grade changes may be requested by the student no more than three (3) years after the term in which the grade was awarded. Grade changes for terms prior to January 2018 cannot be considered. A change of academic grade to Excused Withdrawal (EW) will be recorded only after this petition has been completed, signed by the student, approved by the Dean of Student Learning in consultation with appropriate faculty, and determined to meet the requirements of the policies of the VCCCD.
     

In Progress Grade Request - Registration Repeat

Registration is normally prohibited where a course is currently in-progress. This record allows intervention to permit the registration.  Request of instructors the grade(s) to date in an effort to re-enroll the same course for the following terms.
 

Petition To Audit Class

Accordance with Section 72252.3 of the California Education Code, students enrolled in 10 units or more may, with instructor consent, be allowed to audit one lecture only class per term without a fee.  Students enrolled in less than ten units may, with instructor consent, audit one lecture only class per term for a non-refundable fee of fifteen dollars ($15.00) per unit per semester.  As required by section (d), priority in class enrollment shall be given to students desiring to take the course for credit towards a certificate or degree. Therefore, students wishing to audit may register for classes in audit status by petition only in the last two days of the add/drop period. This petition requires permission of the instructor and the dean of the division in which the course is organized. Laboratory and activity classes are not normally available for audit.   In accordance with the section (c) of this statute, no student auditing a course shall be permitted to change his or her enrollment in that course to receive credit for the course.  Students auditing a course are not permitted to take exams in class, nor are they permitted to challenge the course at a later date.  Instructors are under no obligation to grade assignments of students auditing a course.  Attendance requirements for students auditing courses are the same as for all other students as stated in the college catalogs.