Fillable EAST LOS ANGELES COLLEGE (CSU) California State University (East Los Angeles College)

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EAST LOS ANGELES COLLEGE (CSU) California State University (East Los Angeles College)

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The EAST LOS ANGELES COLLEGE (CSU) California State University (East Los Angeles College) form is 1 page long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for East Los Angeles College

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Student Name: _________________________________________ ID Number: _________________________
EAST LOS ANGELES COLLEGE
(CSU) California State University General Education Breadth
Certification Request Form
CSU GE Breadth is a program of courses which fulfill 39 units of lower division
general education requirements for the CSU system.
I met with a counselor within the last six months and verified that I am eligible for CSU certification.
Transcript Request Form is attached. An official certified transcript will be mailed directly to the university.
PASS ALONG: If you are using courses from other colleges for certification, please check the Pass Along box and list
colleges below. All non-LACCD transcripts must be mailed directly from the school to the East Los Angeles College
Office of Admissions.
Note: for AP, IB or CLEP credit you must file a separate General Petition for each requesting credit. Appropriate
documentation must be on file.
College or Universities Attended (Transcripts must include final grades)
___________________________________________________ Transcripts on file
___________________________________________________ Transcripts on file
___________________________________________________ Transcripts on file
Advanced Placement Credit (AP): Check box if you have AP credit you want to use toward CSU GE areas.
College Board Transcript on file
College Level Examination Program (CLEP) Credit: Check box if you have CLEP credit you want to use toward CSU GE
areas.
College Board Transcript on file
International Baccalaureate Credit (IB): Check box if you have IB credit you want to use toward CSU GE areas.
IB Transcript of Results on file
I understand the terms and conditions for CSU Certification, and I am requesting that my attached transcript request be
evaluated for possible certification.
Signature _________________________________________ Date_________________________
Revised 11/23/2016 Counseling Department
This form needs to accompany the Transcript Request Form.
OFFICE USE ONLY
Intake Clerk: _____________
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EAST LOS ANGELES COLLEGE (CSU) California State University (East Los Angeles College)

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Completed 13 December 2021

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