CCC Tech Prep Program
Articulation Completion Form

Check the appropriate course credit option:

_____The courses listed below appear in the list of Noncredit Articulated Courses for my school. I will NOT receive course credit at CCC receive course credit at CCC.

OR

_____The courses listed below appear in the list of Credit By Examination Articulated Courses for my school. I want to receive course credit at CCC for these courses.

High School/ROP______________________________________

Print Name___________________________________________                        Last                First         Middle     Student ID number

Address_____________________________________________                          Street and number

__________________               _________________ City, Zip code                                 Telephone number

________________________   Date of birth

Are you currently registered at Contra Costa College? Yes______ No______

If not, when do you plan to attend Contra Costa College (mm/yyyy)

Student Signature________________________________   Date__________________

      

I recommend that the student named above receive course articulation
from Contra Costa College for the course(s) listed below.

 

 

 
Signature______________________________Date_________
                       High School/ROP Instructor
                        

Signature_______________________________Date_________
                      Principal/Superintendent/Director

Routing: Principal/Superintendent send form to:

                                    Priscilla Leadon, Tech Prep Director, Contra Costa College

                                    2600 Mission Bell Dr., AA217,San Pablo, CA 94806