3000 Campus Hill Drive, Livermore CA 94551 Admissions & Records Office Fax (925) 606-6437
PROCESS: SEND NOW AFTER SPRING SUMMER FALL 20
SSN/ “W” User ID: W
*Changes to either your name or address must be made by completing a Student Data Change Form available at Admissions & Records
Office or http://laspositascollege.edu/admissions/assets/docs/personaldatachangeform.pdf.
Select only one certification:
CSU GE Certification CSU/Other Campus:
to: CSU Campus:
Transfer students to UC must fulfill the LOTE (Language Other Than
English) requirement. If you are using high school
provide an official transcript.
READ CAREFULLY BEFORE COMPLETING THIS FORM:
Request that CSU-GE or IGETC certification be sent to the one university you have committed yourself to
attend after you have been accepted for admission.
Certifications are mailed directly to the university.
There is no charge, but Las Positas College issues only one certification per student.
Processing time may be delayed due to registration, graduation, grading periods, “in progress” classes,
staffing, missing documents (including official transcripts from other colleges and official AP grade
It is highly recommended that you see a counselor for a preliminary review before submitting this request.
Please allow 4 weeks for a response.
Student Signature: DATE
By signing above, I certify that my application is complete and accurate. I am responsible for knowing the information provided.
GENERAL EDUCATION (CSU OR IGETC) CERTIFICATION REQUEST
SUBMIT THIS FORM: Attention: Request for Degree/Cert
Las Positas College 3000 Campus Hill Drive, Livermore, CA 94551