Fillable Building 700, First Floor Building 1600, Second floor (Las Positas College)

Fill Online, Printable, Fillable, Blank Building 700, First Floor Building 1600, Second floor (Las Positas College) Form

Use Fill to complete blank online LAS POSITAS COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Building 700, First Floor Building 1600, Second floor (Las Positas College)

On average this form takes 4 minutes to complete

The Building 700, First Floor Building 1600, Second floor (Las Positas College) form is 1 page long and contains:

  • 0 signatures
  • 7 check-boxes
  • 13 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Las Positas College

BROWSE LAS POSITAS COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Admissions & Records Office
Building 700, First Floor
25555 Hesperian Blvd.,
Hayward, CA 94545
Admissions & Records Office
Building 1600, Second floor
3000 Campus Hill Drive
Livermore, CA 94551
AB 2364 HIGH SCHOOL NON-RESIDENT EXEMPTION REQUEST
This form is to be used in the event that you have applied to Las Positas or Chabot College for the purpose of enrolling under
the Concurrent Enrollment program and was coded as a non-residency of California.
To be eligible for this exemption, you must meet all of the following:
♦ Completed all steps and documentation as required under the respective college’s Concurrent Enrollment program.
♦ Approved/admitted under the respective colleges Concurrent Enrollment program.
♦ You are a U.S. Citizen, permanent resident, DACA grantee or alien without lawful immigration status (undocumented).
INSTRUCTIONS
: To qualify for this exemption, fill out the required fields below and submit this form to the Admissions &
Records Office of the college that you most recently applied to and/or is currently indicated as your Home Campus.
STUDENT INFORMATION:
(PRINT)
_______________________________________________________________________________
Last Name First Name Middle
W_________________________________________
Chabot-Las Positas College Student ID number
EXEMPTION REQUEST:
I am requesting an exemption of non-resident status to the following institution (PICK ONE):
Chabot College
Las Positas College
Check one box that applies to you:
I am a U.S. Citizen, Permanent Resident (green card holder), Deferred Action for Childhood Arrival (DACA) grantee,
or an alien without lawful immigration status (undocumented). [Eligible for exemption]
Non-immigrant alien as defined by federal law (non-immigrant aliens have been admitted to the United States
temporarily and include, but are not limited to, foreign students holding F or M visas and exchange visitors holding J
visas.
[NOT eligible for exemption].
STUDENT AGREEMENT:
By signing below, I certify that the information provided on this form is truthful and accurate and that I meet all requirements
listed on this form.
Student’s Signature
: __________________________________________________________ Date: _____________________________________
IMPORTANT NOTICE:
AB 2364 allows community colleges to exempt special part-time students, other than nonimmigrant aliens, as defined, from
paying all or parts of the non-resident tuition fee if that student is admitted under the Concurrent Enrollment program.
ADMISSIONS & RECORDS OFFICE USE ONLY
□
HSNR
□
Student attributed
□
Student notified
Done by:
Date:
A & R Administrator or Designee
Date
PL; 9.23.2020
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Building 700, First Floor Building 1600, Second floor (Las Positas College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 2 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document