Fill - Free fillable Certification Request (San Diego Mesa College) PDF form

SanDiegoCommunityCollegeDistrict

 RequestforCertification

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City Mesa Miramar

CSU–GEBreadthCSU–IGETC*UC–IGETC

FullPartial

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Officialtranscriptsfromallcollegesmustbeonfilebeforesubmittingthispetition

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Date  CSID



Name    

Birthdate   

(PRINT)Last First Middle

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NamewhileattendingSanDiegoCommunityCollegesifdifferent

Address

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StreetCity State    Zip

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EmailTelephone

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DateoflastattendanceataSDCCDCollege

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*HOWhaveyoumettheLanguageOtherThanEnglish(LOTE)requirement?(forUConly)

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DocumentationmustbeonfilewiththeDistrict.

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SendCertificationto(Name&AddressofCollege)   PreviousCollegesAttended













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Original–StudentFolder ss‐RQSTFORCERT‐4/12

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YourrequestforcertificationisbeingreturnedbytheEvaluationsOfficeforthefollowingreason(s)

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________ 1. Officialtranscript(s)isnotonfile.





________ 2. Transferinstitutionisnotidentified.

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________ 3. Certificationrequirementsarenotcomplete.Re‐submitthisrequestwhenallrequirements

havebeenmet.

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________ 4. Studentmusthavecompletedatleastone3‐unittransferablegeneraleducationcourseat

SDCCDwithagradeof‘C’orbetter.

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________ 5. IGETCcertificationshouldbecompletedbythelastCaliforniacommunitycollegeoruniversity

attended.

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