CAHSEE Diploma Request Form

Form November 9, 2015

Based on the current legislation that was signed into law on October 7, 2015 by Governor Brown, SB172 now mandates that school districts issue diplomas for students who have met all Local Education Agency graduation requirements other than the passage of the CAHSEE starting with the class of 2006.

Complete the below form if you believe you meet these requirements and attach a copy of your ID to it. Applications will be reviewed and you will be contacted after review of the application with next steps.

If you have any questions, contact the Student Hearing and Placement Department at (916) 643-9425 or via fax at (916) 399-2029.

Diploma Information

First Name: *

Middle Name:

Maiden Name:

Last Name: *

Date of Birth: *

School: *

Graduation Year: *

Daytime Phone Number: *

Email:

Where to send the records

Please select the delivery method for your diploma.

If you select pick up, a 人妻乱伦 staff member will call you when you diploma is ready to be picked up at the Serna Center.

Delivery Method: *

Name:

Street Address: *

City: *

State: *

Zip Code: *

Phone Number:

Only if different from the number specified above.

Fax Number: *

Email:

Only if email is different than address specified above.

Attachments

Attach copy of license or ID: *

Questions or Comments:

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