COMMUNITY COLLEGE OF ALLEGHENY COUNTY
Allegheny Campus Boyce Campus North Campus South Campus
808 Ridge Avenue 595 Beatty Road 8701 Perry Highway 1750 Clairton Road
Pittsburgh, PA 15212 Monroeville, PA 15146 Pittsburgh, PA 15237 West Mifflin, PA 15122
Ph: 412.237.2589 Ph: 724.325.6602 Ph: 412.369.3656 Ph: 412.469.6241
FAX: 412.237.3171 FAX: 412.237.3173 FAX: 412.237.3175 FAX: 412.237.3177
Notifications of nondiscrimination and contact information can be found at www.ccac.edu, search keywords “notifications of nondiscrimination.”
High School Completion Status:
You must submit documentation of high school completion or an equivalent along with this worksheet.
Check the box of the document you will attach to this worksheet:
High school diploma or high school transcript including graduation date.
Official documentation from high school counselor stating your graduation date and reason why high
school diploma/transcript is unavailable.
General Education Development (GED) Certificate.
State certificate stating you have passed a State-authorized examination recognized as an equivalent of
a high school diploma.
Academic transcript of a successfully completed two-year program acceptable for full credit toward a
If you are a homeschooled student, a transcript or equivalent, signed by parent or guardian, listing
secondary school courses you have completed and documentation that you have successfully completed
secondary school education.
If you are a homeschooled student, a secondary school completion credential provided under State law.
If you do not have documentation meeting any of the above requirements, seeking an associate degree or its equivalent,
and excelled academically in high school, you may provide documentation of the high school stating that you excelled
academically in high school and documentation from your current/future postsecondary institution that you have met the
formalized, written policies of admitting such students.
Student Printed Name: ____________________________________ Student ID#:_______________________________
Student Signature: ___________________________________________ Date: _________________________________
Revised: February 26, 2014