MISSION COLLEGE
CSUGEB / IGETC CERTIFICATION REQUEST FORM
If you have satisfied all CSU GE-B or IGETC requirements, you are eligible to receive a Certificate of Achievement.
Please complete the Application for Certificate and submit it to Admission & Records.
POLICIES AND PROCEDURES FOR REQUESTING A CSUGEB AND IGETC CERTIFICATION
This form is used to request CSUGEB and IGETC Certification.
If official transcripts are also required, student must submit an Official Transcript Request Form.
Official transcripts from other colleges must be provided by the student.
Transcripts from other colleges that were previously submitted to the Records Office are
purged after 5 years.
All certifications are mailed directly to the transferring institution.
For evaluation of major preparation courses, the student should meet with a Counselor or visit
www.assist.org.
Student ID #:
Name:
Previous/Other Name:
Address:
City State Zip
Birthdate: Phone:
I have thoroughly read the policies and procedures for requesting a transcript evaluation (on back).
Signature: Date:
(Your signature is REQUIRED by Family Educational Rights and Privacy Act, 1974)
Certification Request: _____CSUGEB ____CSU IGETC ____UC IGETC
Mail Official Certification to:
Name:
Department:
Address:
For questions about Certification, see a Counselor.
click to sign
signature
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