Evaluation Request Form

Student Information

Contact Information
	Please enter your SWC ID #. Your ID # is made up of 6 numbers. Do not enter the leading '0'
SWC ID
	Please note that your name as listed officially in your college record will appear on your diploma or certificate. If your contact information has changed, you'll need to update it via WebAdvisor
First Name
Middle Name
Last Name
EMail
Phone Number
Date of Birth	/ /
	Are you a Veteran or Active Military?
Petition Information
Please select the type of petition that you are requesting from the drop down below. You will need to submit a separate petition for each major or certificate. All requirements must be completed by the end of the semester. Those that are not complete will be required to re-submit for a subsequent semester.

Petition For:
Term

Transfer Information
	Are you transferring to another College or a four year University?
Transferring?	YesNo

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