Fillable ADTGRADAPP (Mission College)

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ADTGRADAPP (Mission College)

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APPLICATION FOR DEGREE
Associate in Arts/Associate in Science for Transfer
Admissions & Records Office, 3000 Mission College Blvd, Santa Clara, CA 95054-1897
Name
Student ID:
Last First Middle
(Print your name as it is to appear on the degree)
Address
Home Phone:
Street
Other Phone::
City
State
Zip
Email
Courses required for the degree will be completed: Year: ____ Fall Spring Summer
AA-T Major: Art History
Communication English
History
Political Science
Kinesiology
Studio Arts
Sociology
AS-T Major: Administration of Justice Business
Mathematics Physics
GE Pattern: CSU GE-B
IGETC
NOTE:
Completion of either of these patterns also qualifies you for a Certificate of Achievement in
Transfer Studies. To receive this award, complete the Application for Certificate at
www.missioncollege.org/admissions/forms
. (See Page 2 or 3 for more information.)
1. Have you taken a course(s) from another institution(s)?
Yes No
2. List all colleges previously attended and the date you requested your transcript sent to Mission
College
NAME USED WHILE ENROLLED
DATE TRANSCRIPT
REQUESTED
3. List approved course substit
utions. Signature must be obtained by Major Department Chair.
COURSE
SCHOOL WHERE
COURSE(S) WAS TAKEN
SUBSTITUTE FOR MISSION
COLLEGE COURSE
4. I would like Mission College to officially certify completion of my General Education (GE Certification)
and send it to my transfer school(s).
HIGHLY RECOMMENDED
(See Page 2 or 3 for more information.)
Yes Please list transfer school(s):
Student Signature: Date:
REQUIRED:
Complete either the CSU GE-B Worksheet on Page 2
or
the IGETC Worksheet on Page 3.
Name: SID#:
AA-T/AS-T
All Official Transcripts that apply to your degree must be on file in the Records Office
or your Application for Degree will be DENIED
Psychology
Early Childhood Education
Spanish
AA-T/AS-T DEGREE WORKSHEET
California State University General Education-Breadth (CSU GE-B)
List completed and current courses taken to satisfy each GE area for CSU GE-Breadth.
NOTE:
All GE areas must be complete in order to qualify for AA-T or AS-T.
CSU General Education-Breadth
Completed
Courses
Current
Courses
Institution
CSU GE-B Categories
Area A – Oral & Written Communication 3 courses, 9 units
EXAMPLE:
COMM 001
MISSION
A1. Oral Communication
A2. Written Communication
A3. Critical Thinking
Area B – Scientific Inquiry and Quantitative Reasoning 3 courses, 9 units
B1. Physical Science
B2. Biological Science
B3. Laboratory Requirement
B4. Mathematics
Area C – Arts and Humanities 3 courses, 9 units
C1. Arts
C2. Humanities
C3. Arts or Humanities
Area D - Social & Behavioral Sciences 3 courses, 9 units
Area E - Lifelong Learning 1 course, 3 units
American History & Institutions Requirement complete? Yes No
NOTE: Information Competency and Reading (LIB 010 and READ 054) are recommended but
NOT required for this degree.
Page 2
Major & Related Courses
Major:
Completed Courses
Current Courses
Institution
Certificate of Achievement in Transfer Studies - CSU GE-B or IGETC – An award
presented to students for completion of either the California State University
General Education-Breadth requirements (CSU GE-B) or the Intersegmental
General Education Transfer Curriculum (IGETC).
General Education Certification (GE Certification)
– This certification process
guarantees that a student has met certain general education requirements by
completing specific coursework. Without a Certification, transfer students may
not be granted proper credit for the courses completed. "Certification" refers to
official notification from a California Community College that a transfer student
has completed courses fulfilling CSU or UC lower division general education
requirements. Students may choose the IGETC or the CSU GE-B pattern. The UC
System accepts IGETC, while the CSU System accepts either IGETC or CSU GE-B.
Name: SID#:
COUNSELOR VERIFICATION (OPTIONAL)
Student has completed all CSU GE-B and major requirements.
Signature:
AA-T/AS-T DEGREE WORKSHEET
Intersegmental General Education Transfer Curriculum (IGETC)
List completed and current courses taken to satisfy each GE area for IGETC.
NOTE: All GE areas must be complete in order to qualify for AA-T or AS-T.
NOTE: Information Competency and Reading (LIB 010 and READ 054) are recommended but
NOT required for this degree.
Pag
e 3
IGETC
Completed
Courses
Current
Courses
Institution
IGETC Categories
Area 1 – English Communication 2-3 courses, 6-9 units
EXAMPLE:
ENGL 001A
MISSION
1A. Written Communication
1B. Critical Thinking
1C. Communication (CSU only)
Area 2 - Mathematics 1 course, 3 semester units
Area 3 – Arts and Humanities 3 courses, 9 units
3A. Arts
3B. Humanities
3C. Arts or Humanities
Area 4 - Social Sciences 3 courses, 9 units
F
F
F
Area 5 – Physical and Biological Sciences 3 courses, 9 units
5A. Physical Science
5B. Biological Science
5C. Laboratory Requirement
Area 6 - Language other than English
Language Course
OR check appropriate box to verify completion of requirement (documentation required):
Equivalent to 2 years of high school study in the same language (“C” or better)
AP Score of 3, 4 or 5
CEEB score of 550
2 years of schooling at the sixth grade level or higher in an institution where the language of
instruction is NOT English
Other
Major & Related Courses
Major:
Completed Courses
Current Courses
Institution
Certificate of Achievement in CSU GE-B or IGETC – An award presented to
students for completion of either the California State University General
Education-Breadth requirements (CSU GE-B) or the Intersegmental General
Education Transfer Curriculum (IGETC).
General Education Certification (GE Certification)
– This certification process
guarantees that a student has met certain general education requirements by
completing specific coursework. Without a Certification, transfer students may
not be granted proper credit for the courses completed. "Certification" refers to
official notification from a California Community College that a transfer
student has completed courses fulfilling CSU or UC lower division general
education requirements. Students may choose the IGETC or the CSU GE-B
pattern. The UC System accepts IGETC, while the CSU System accepts either
IGETC or CSU GE-B.
Name: SID#:
COUNSELOR VERIFICATION (OPTIONAL)
Student has completed all IGETC and major requirements.
Signature:
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Completed 24 July 2020

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