Forms

Petition for Exceptional Admission

This form is used when applicants don’t fully meet the standard admission requirements for the program but want to request special consideration.

Denial of Admission Form

An applicant has the right to appeal a denial of admission. If an applicant believes that the denial is based on error, prejudice, capriciousness, arbitrariness or is not in alignment with established admission criteria, the applicant may file an appeal and offer evidence to support the claim.

Student Terms of Agreement

This form serves as a formal acknowledgement of the responsibilities , policies, and expectations tied to a students enrollment in the program.

Incomplete Grade Justification Form

In assigning a grade of I, the Faculty member shall file a CalStateTEACH Incomplete Grade Justification with the Regional office, signed by the candidate, the instructor, and the Regional Director.

Grade Appeal Form

If you are appealing a grade, you must make a documented attempt to communicate with the instructor who assigned the grade and discuss your objection with him/her before filing this appeal.

Petition for Reinstatement Form

If disqualified, the candidate is not eligible for reinstatement for a minimum of one semester. The candidate will be required to reapply for admission and submit a petition for reinstatement to the Regional Director.

Probation and Disqualification Appeal Form

If a candidate believes that the probation and/or disqualification is based on error, prejudice, capriciousness, arbitrariness or is not in alignment with established program criteria, the candidate may file an appeal and offer evidence to support the claim.

Remediation Plan for Unsatisfactory Progress Form

In the event of unsatisfactory progress, Faculty will send a Midterm Notice of Unsatisfactory Progress to the Regional Director by the seventh week of the term. The Regional Director will notify the candidate and the candidate will create a Remediation Plan and present it to the regional director who will share it with the faculty and the mentor, if clinical experience is the issue.