Counseling Forms

Prerequisite Clearance Request Form

A prerequisite is a condition of enrollment that you are required to meet in order to demonstrate current readiness for enrollment in a course or educational program. A prerequisite course must be completed with a satisfactory grade, “C” grade or higher or a “P” (passing) grade.

If you are trying to enroll in a course that has a prerequisite, you must meet that prerequisite before you will be allowed to enroll in the class. If you completed the prerequisite course outside of the Peralta District, bring a copy of your transcript (can be unofficial copy) from the outside institution and meet with a counselor.

You can also download the Prerequisite Clearance Request Form and fax or email it in.

Please note: you must attach copies of your transcript and/or supporting documentation to the Request Form.

Fax: 510-748-5208


New Student Enrollment Hold Form

Option 1: Exemption from Assessment

Complete this form if you would like to be exempt from completing our assessment. Please attach supporting documents.

Option 2: Exemption from all Student Success and Support Program (SSSP) Services

Complete this form if you do not intend to participate in Orientation, Assessment, and Education Planning/Counseling. Please attach supporting documents.


Fax: 510-748-5208