A&R Received by: ________________
REQUEST FOR IGETC CERTIFICATION
411 Central Ave. | Salinas, CA 93901| Phone: 831-755-6711
Complete this form and submit to the Admissions and Records office at firstname.lastname@example.org.
Please allow 2-4 weeks for processing. Incomplete forms will result in non-consideration.
Hartnell ID #: (or Soc. Sec. Num.)
Address: (Street, City, State and Zip Code)
RECIPIENT INFORMATION | Send IGETC Certification To:
School or Name:
(i.e., UC Berkeley)
(i.e., Admissions Office)
(i.e., 123 Street Name)
City, State and Zip Code:
(i.e., Berkeley, CA 94720)
Have you previously sent an official transcript to this UC Campus? ▢ Yes ▢ No
▢ Send IGETC Certification Now
▢ Hold and send IGETC Certification after final grades for:
▢ I meet all IGETC areas, including the Language Other Than English (LOTE) requirement, with courses completed at Hartnell College only.
▢ I have completed some IGETC areas with high school courses/ AP exams, or courses at other institutions and have previously submitted official
transcripts/scores to Admissions and Records.
▢ I acknowledge I did not meet the full IGETC area requirements and are requesting partial IGETC certification. (Select this option if you are missing
LOTE, or following IGETC for STEM)
Student Signature: ____________________________________ Date:_______________
For Admissions & Records Use Only:
▢Official high school transcript on IASU ▢ Not applicable
▢Official AP Scores on IASU ▢ Not applicable
▢Official transcript from other colleges attended on IASU ▢ Not applicable
Processed By:_____________________________________ Date:_______________
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