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No Show Appeal Form
Personal Information
Full Name
*
SMC Student ID
*
SMC Email
*
Phone Number
*
Phone Number, part 1
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Phone Number, part 2
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Phone Number, part 3
Course 1
1 CRN
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1 Subject
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- Select -
Accounting (ACCO)
Art (ART)
Automotive Technology (AUTO)
Biological Sciences (BISC)
Biology (BIOL)
Business (BUSI)
Chemistry (CHEM)
Comp Aided Draft/Design (CADD)
Construction Trades Green Technology (CONS)
Criminal Justice (CRIM)
Critical Thinking (CRIT)
Economics (ECON)
Education (EDUC)
English (ENGL)
English for Multilingual Speakers (ESL)
Environmental Science (ENST)
Fire Science (FISC)
Geography (GEOG)
Health Education (HEED)
Health Info Mgt System (HIMS)
History (HIST)
Hospitality (HOSP)
Humanities (HUMA)
Industrial Technology (INTE)
Information Systems (ISYS)
Mathematics (MATH)
Mechatronics Technology (ELEC)
Medical Assisting (MEDA)
Music (MUSI)
Nursing (NURS)
Office Administration (OADM)
Pharmacy Technician (PHTE)
Philosophy (PHIL)
Physical Education (PHED)
Physics (PHYS)
Political Science (POSC)
Precision Machining Technology (MACH)
Psychology (PSYC)
Reading (READ)
Social Work (SOWK)
Sociology (SOCI)
Spanish (SPAN)
Speech (SPEE)
Student Personnel Serv (SPS)
Theatre (THEA)
Welding (WELD)
Other
1 Course No.
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1 Instructor
*
Need to add a second course?
*
Yes
No
1 Subject: Other
*
Please indicate the subject above.
Course 2
2 CRN
*
2 Subject
*
- Select -
Accounting (ACCO)
Art (ART)
Automotive Technology (AUTO)
Biological Sciences (BISC)
Biology (BIOL)
Business (BUSI)
Chemistry (CHEM)
Comp Aided Draft/Design (CADD)
Construction Trades Green Technology (CONS)
Criminal Justice (CRIM)
Critical Thinking (CRIT)
Economics (ECON)
Education (EDUC)
English (ENGL)
English for Multilingual Speakers (ESL)
Environmental Science (ENST)
Fire Science (FISC)
Geography (GEOG)
Health Education (HEED)
Health Info Mgt System (HIMS)
History (HIST)
Hospitality (HOSP)
Humanities (HUMA)
Industrial Technology (INTE)
Information Systems (ISYS)
Mathematics (MATH)
Mechatronics Technology (ELEC)
Medical Assisting (MEDA)
Music (MUSI)
Nursing (NURS)
Office Administration (OADM)
Pharmacy Technician (PHTE)
Philosophy (PHIL)
Physical Education (PHED)
Physics (PHYS)
Political Science (POSC)
Precision Machining Technology (MACH)
Psychology (PSYC)
Reading (READ)
Social Work (SOWK)
Sociology (SOCI)
Spanish (SPAN)
Speech (SPEE)
Student Personnel Serv (SPS)
Theatre (THEA)
Welding (WELD)
Other
2 Course No.
*
2 Instructor
*
Need to add a third course?
*
Yes
No
2 Subject: Other
*
Please indicate the subject above.
Course 3
3 CRN
*
3 Subject
*
- Select -
Accounting (ACCO)
Art (ART)
Automotive Technology (AUTO)
Biological Sciences (BISC)
Biology (BIOL)
Business (BUSI)
Chemistry (CHEM)
Comp Aided Draft/Design (CADD)
Construction Trades Green Technology (CONS)
Criminal Justice (CRIM)
Critical Thinking (CRIT)
Economics (ECON)
Education (EDUC)
English (ENGL)
English for Multilingual Speakers (ESL)
Environmental Science (ENST)
Fire Science (FISC)
Geography (GEOG)
Health Education (HEED)
Health Info Mgt System (HIMS)
History (HIST)
Hospitality (HOSP)
Humanities (HUMA)
Industrial Technology (INTE)
Information Systems (ISYS)
Mathematics (MATH)
Mechatronics Technology (ELEC)
Medical Assisting (MEDA)
Music (MUSI)
Nursing (NURS)
Office Administration (OADM)
Pharmacy Technician (PHTE)
Philosophy (PHIL)
Physical Education (PHED)
Physics (PHYS)
Political Science (POSC)
Precision Machining Technology (MACH)
Psychology (PSYC)
Reading (READ)
Social Work (SOWK)
Sociology (SOCI)
Spanish (SPAN)
Speech (SPEE)
Student Personnel Serv (SPS)
Theatre (THEA)
Welding (WELD)
Other
3 Course No.
*
3 Instructor
*
Need to add a fourth course?
*
Yes
No
3 Subject: Other
*
Please indicate the subject above.
Course 4
4 CRN
*
4 Subject
*
- Select -
Accounting (ACCO)
Art (ART)
Automotive Technology (AUTO)
Biological Sciences (BISC)
Biology (BIOL)
Business (BUSI)
Chemistry (CHEM)
Comp Aided Draft/Design (CADD)
Construction Trades Green Technology (CONS)
Criminal Justice (CRIM)
Critical Thinking (CRIT)
Economics (ECON)
Education (EDUC)
English (ENGL)
English for Multilingual Speakers (ESL)
Environmental Science (ENST)
Fire Science (FISC)
Geography (GEOG)
Health Education (HEED)
Health Info Mgt System (HIMS)
History (HIST)
Hospitality (HOSP)
Humanities (HUMA)
Industrial Technology (INTE)
Information Systems (ISYS)
Mathematics (MATH)
Mechatronics Technology (ELEC)
Medical Assisting (MEDA)
Music (MUSI)
Nursing (NURS)
Office Administration (OADM)
Pharmacy Technician (PHTE)
Philosophy (PHIL)
Physical Education (PHED)
Physics (PHYS)
Political Science (POSC)
Precision Machining Technology (MACH)
Psychology (PSYC)
Reading (READ)
Social Work (SOWK)
Sociology (SOCI)
Spanish (SPAN)
Speech (SPEE)
Student Personnel Serv (SPS)
Theatre (THEA)
Welding (WELD)
Other
4 Course No.
*
4 Instructor
*
Need to add a fifth course?
*
Yes
No
4 Subject: Other
*
Please indicate the subject above.
Course 5
5 CRN
*
5 Subject
*
- Select -
Accounting (ACCO)
Art (ART)
Automotive Technology (AUTO)
Biological Sciences (BISC)
Biology (BIOL)
Business (BUSI)
Chemistry (CHEM)
Comp Aided Draft/Design (CADD)
Construction Trades Green Technology (CONS)
Criminal Justice (CRIM)
Critical Thinking (CRIT)
Economics (ECON)
Education (EDUC)
English (ENGL)
English for Multilingual Speakers (ESL)
Environmental Science (ENST)
Fire Science (FISC)
Geography (GEOG)
Health Education (HEED)
Health Info Mgt System (HIMS)
History (HIST)
Hospitality (HOSP)
Humanities (HUMA)
Industrial Technology (INTE)
Information Systems (ISYS)
Mathematics (MATH)
Mechatronics Technology (ELEC)
Medical Assisting (MEDA)
Music (MUSI)
Nursing (NURS)
Office Administration (OADM)
Pharmacy Technician (PHTE)
Philosophy (PHIL)
Physical Education (PHED)
Physics (PHYS)
Political Science (POSC)
Precision Machining Technology (MACH)
Psychology (PSYC)
Reading (READ)
Social Work (SOWK)
Sociology (SOCI)
Spanish (SPAN)
Speech (SPEE)
Student Personnel Serv (SPS)
Theatre (THEA)
Welding (WELD)
Other
5 Course No.
*
5 Instructor
*
5 Subject: Other
*
Please indicate the subject above.
Student Rationale
Have you attended this course at least one time? If yes, give specific details below. If no, simply type 'No' in the box below.
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Have you submitted any assignments for this specific class, or taken a quiz or test in this class? If yes, give details below. If no, simply type 'No' in the box below.
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