CSUGE / IGETC Cert Request - CSU GE Request

Are You Requesting CSU GE Breadth Certification?: YesNo

Have You Completed at Least 12 Units at LACC? : YesNo

Have You Been Accepted to a CSU Campus? : YesNo

Are You Requesting Full Certification or Partial Certification?: Full CertificationPartial Certification
Have You Attended Any Other Colleges Outside LACC or LACCD?: YesNo





Have You Taken Any Advanced Placement (AP) or International Baccalaureate (IB) Exams?: YesNo Advanced Placement exams with a minimum score of 3 International Baccalaureate exams with a minimum score of 4 or 5 depending on subject

First Name:
Last Name:
Middle Initial:
LACC Student ID:
Date of Birth:	MM/DD/YYYY
Phone Number:	( ) - Second three digits Last four digits
Student Email Address:	Please provide your LACCD email address ending in "@student.laccd.edu"
Confirm Email Address:


Please List Any LACC Counselors Who Have Helped Advise You With CSU GE Breadth:
Is There Any Other Information You Would Like to Share?:
To the Best of My Knowledge the Information Provided Above is True and Accurate: I Agree
Disclaimer: The Articulation Office makes no guarantees, either express or implied, with respect to information available over the Internet from other colleges or entities and is not responsible for any inaccuracies or misrepresentation of information related to CSU and UC GE certification. Accordingly, the CSU and UC and their individual campuses govern and have final authority over all transfer, admissions and baccalaureate related matters.: I Understand

Los Angeles City College