AB104 Grade Change Form

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Pursuant to Education Code Section 49066.5 (2)(b): The parent, guardian, or education rights holder of a pupil or, for a pupil 18 years of age or older, the pupil who was enrolled in high school and enrolled in a course during the 2020–21 school year may apply to the pupil’s local educational agency to have a letter grade earned for that course, as reflected on the pupil’s transcript, changed to a Pass or No Pass grade. A list of colleges willing to accept these pass/fail marks can be found here (https://www.cde.ca.gov/ci/gs/ps/ab104surveyresults.asp).

The parent/guardian or adult student MUST submit this application by August 15th in order to request Pass/No Pass grades in lieu of letter grades for the 2020/21 school year. Changes will require an additional DocuSign signature to finalize the request. Grade changes will be processed by August 31st. Students/parents may request updated transcripts after that date.

Student First Name *

Student Last Name *

CalPac School *

CAPCSSD - CalPac San Diego

CAPCSLA - CalPac Los Angeles

CAPCSSO - CalPac Sonoma

Student Grade in 20-21 *

Grade Change Requested, check all that apply *

I am requesting P/F grades for ALL Fall Semester classes

I am requesting P/F grades for ALL Spring Semester classes

I am requesting P/F grades for SOME Fall Semester classes

I am requesting P/F grades for SOME Spring Semester classes

Required

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