Fillable CERTIFICATION FORM Attachment C Page 1 of 1 (California)

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CERTIFICATION FORM Attachment C Page 1 of 1 (California)

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Attachment C
Page 1 of 1
CERTIFICATION FORM
The District certifies that the diploma earned at this continuation high school is equivalent to
the diploma earned at the traditional high school(s) in the district, and that every graduate,
whether from a traditional high school or continuation high school, is equally prepared for
productive citizenship.
The District certifies that all information presented in the 2021–22 Model Continuation High
School Application is true and accurate.
County: District:
School:
District Superintendent’s/Designee’s Name:
Designee’s Job Title (if applicable):
Signature of District Superintendent/Designee
(Type Name above to Sign)
Date
California Department of Education April 2021
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CERTIFICATION FORM Attachment C Page 1 of 1 (California)

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Completed 12 September 2021

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