Modesto Junior College & Columbia College Time Conflict Resolution Form

TIME CONFLICT RESOLUTION FORM

	Print and fill out this form. Sign and fax, or mail it to MJC or CC:
	Modesto Junior College, Admissions Office 435 College Avenue Modesto, CA 95350 209-575-6853 209-575-6859 - FAX	Columbia College, Admissions & Records Office 11600 Columbia College Drive Sonora, CA 95370 209-588-5250 209-588-5337 - FAX

___________________________________
(Term & Year)

I, ___________________________________ will accurately document in my rollbook the time
Signature of Instructor

made up by	____________________________________________	________________________________
	Student's Name (Please Print)	Social Security Number or ID #

___________________________________________________________________ Print Instructor's Last Name First Name
He/She has attempted to register in a class	______________,	___________________________
	Section #	Class Name

Which meets	_________________________________.
	Days and Time

This time conflicts with another class for which he/she is registered. Please indicate below your arrangements with the student to make up the missing hours so that the student may register in the course. The student is to return this form along with the Add card to the Admissions Office, East Campus Student Center.

Special Arrangements:

_______	1.	Time after class
_______	2.	Arrange for time on extra day
_______	3.	Student will attend another session
_______	4.	Other (please list) ____________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________

The college may permit enrollment in courses with conflicting meeting times. The Admissions Office requires accurate documentation of each of the overlapping hours, which are not attended at the regularly scheduled time. Time "made-up" must be done under appropriate supervision. A rational justification on a student-by-student basis must be established. Justification that will be considered is that the student needs the "conflicting" course in order to complete his/her course of studies in a reasonable period of time.