Verification of High School Completion V4/V5
You must appear in person at Las Positas College (LPC) to submit and verify your High School Completion status.
A. Student’s Information
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Last Name First Name M.I. W ID Number
______________________________________________________________ ___________________________________
Street Address (include apt. no.) Date of Birth
______________________________________________________________ ___________________________________
City State Zip Code Phone Number (include area code)
B. High School Completion Status
Provide one of the following documents that verifies your high school completion status for the 2019–2020 school year:
A copy of your high school diploma.
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ur final official high school transcript that shows the date when the diploma was awarded.
A copy of your General Educational Development (GED) certificate or GED transcript.
An academic transcript that indicates you successfully completed at least a two-year program that is acceptable for full credit
toward a bachelor’s degree.
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requires a homeschooled student to obtain a secondary school completion credential for homeschool (other than a
high school diploma or its recognized equivalent), a copy of that credential.
If State law does not require a homeschooled student to obtain a secondary school completion credential for homeschool
(other than a high school diploma or its recognized equivalent), a transcript or the equivalent, signed by your parent or guardian,
that lists the secondary school courses you completed and documents the successful completion of a secondary school education
in a homeschool setting.
If you are unable to obtain the documentation listed above, contact the financial aid office.
C. Certification and Signature
By signing this form I certify that I have a high school
diploma, GED or equivalent and I have provided a copy for verification.
The student must sign and date this form in person at the Financial Aid Office.
____________________________________________ _________________________________
Student’s Signature Date
WARNING: If you purposely give false or misleading
information on this worksheet, you may be fined, be sentenced
to jail, or both.
