2018-
The California Student Aid Commission (CSAC) requires the completion of this form to verify your eligibility to receive
a Transfer Entitlement Cal Grant award. Read this form carefully, then complete ALL questions, sign, date and
mail to the address listed on the back of this form. Failure to return this form will adversely impact your ability
to be considered for the Transfer Entitlement Cal Grant. Please see other side for instructions.
Transfer Entitlement Program Requirements:
You have been given preliminary award consideration because CSAC received your California Community College GPA
of at least 2.40. In addition to the GPA, every Transfer Entitlement Cal Grant applicant must also meet the following:
•
attended and completed at least 24 semester units at a California Community College and then transfer and attend a qualifying California
institution that offers a bachelor’s degree for the 2018-19 year; AND
•
graduate from a California high school (unless military orders required the student or the student’s parent or guardian to be out-of-
state at the time of graduation), or complete a high school graduation equivalency exam (including GED, HiSET, TASC or the
California High School Proficiency Exam) on or after July 1, 2000 and be a California resident at the time; OR
•
if you did not graduate high school or obtain the equivalent but were a California resident at age 18.
FAILURE TO ANSWER ALL QUESTIONS WILL DELAY PROCESSING
1.
First Name MIDDLE Last Name DOB CSAC ID
2.
Print month and year of your high school graduation or the equivalent; or if
you did not graduate high school and did not obtain the equivalent
(GED/HiSET/TASC/CHSPE) please write “Did Not Graduate” and proceed
to question #6:
3.
ONLY MARK THIS BOX IF you were a California resident at the time of high
school graduation but graduated from a high school outside of California due
to you or your parent or guardian’s military orders from the United States
Armed Forces. Otherwise, leave this box blank.
Month Year
4.
Print the name of the high school from which you
graduated. If you completed high school by passing
the GED, HiSET, TASC or the CHSPE, please write
“GED,” “HiSET,” “TASC,” or “CHSPE.”
5.
Please print the city and state of the high school or if you
completed high school by passing the GED/HiSET/TASC/
CHSPE, please enter the city and state of graduation or
completion.
6.
Print the date you became a California resident, or if you
applied through the
CA Dream Act Application, print the
date you started living in California ( If you were born in
CA, enter your Date of Birth)
.
7.
Print the name of the college you are attending in the
2017-18 academic year.
8.
Print the name of the college you plan to attend in the
2018-19 academic year.
High School Name or GED/HiSET/TASC/CHSPE
City State
Day Month Year
2017-18 College of Attendance
2019-19 College of Attendance
Student Certification: I have read the information printed above. I certify that the information I listed above is true and correct to
the best of my knowledge. I understand that it is illegal to report false or misleading information. I certify under penalty of perjury
under the laws of the State of California, that the foregoing is true and correct.
Signature Date
G-6 (10/19)
Daytime Telephone Number
19 Transfer Entitlement Cal Grant Certification Form
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signature
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