20190513v2
HIGH SCHOOL GRADUATION
UPDATE FORM
Check complete on the
K-12 Checklist
Assign New Student
Checklist
Assign MMAP Checklist
(if applicable)
Service indicator end date
to a day before the Open
Enrollment date
Enter Effective End Term
(last term dually enrolled)
Inactivate from K-12
student group
Reg. Appointment
adjusted (if applicable)
Residency status review
(if applicable)
A&R Staff
Date
Notes
First name Last name Middle Initial
Student ID Number Age
Home Address
High School Name
As of..................
Semester Year
Birth Date ..........
Month Day Year
Graduation Date
Month Day Year
FOR ADMISSIONS AND RECORDS USE ONLY
Please check one educational status:
Earned a U.S. high school diploma
Not a high school graduate
Currently enrolled in adult school
Last attended high school in
Passed the California High School Proficiency Certificate
Passed the G.E.D.
Please complete the information below.
Today’s Date Students Signature
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signature
click to edit
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