Admissions & Records Forms


Click title to access:

Applications/Admissions Forms

Application for Admissions to Contra Costa College
Application and Program Bulletin for the Nursing Program – See ‘Nursing’ page.
Exemption from Matriculation Form *** See Counseling
High School Concurrent Enrollment Information Packet– Summer 2015

Enrollment and Registration Forms:

Enrollment Application
Course Transfer Form
Petition For Course Repetition Form
***Course Conflict Form******Forms are Available at the Division Offices
Unit Overload
Pass/No Pass Request
Late Add Petition 
Reinstate Request Form-Located in A&R
*Early Graduation Petition for Early Registration – See Below
*For Students Planning to Graduate or Transfer

Residency Forms:

California Residency Reclassification Request
AB540 Form 

Evaluation Forms:

Prerequisite Verification /Challenge Form
Request for Transcript Evaluation

Veteran Forms:

***VA Request for Verification Worksheet (Required every semester)***

Steps to Success – Checklist

Vets Statement of Responsibility** See a VA Counselor to have an Education Plan on File.  Only courses on your Ed Plan may be certified.


 Request Forms/Student Services:

Student Data Change Request
 Declaration or Change of Major Form
Enrollment Certification via InSite Portal Online
Enrollment Certification Request Mail/Fax PDF
Transcript Request via InSite Portal
Transcript Request Form-Mail/Fax PDF

Appeal Forms:

Petition for Academic Renewal
Registration Appointment Appeal (due to probation/dismissal or are over 100 units) 

Degree/Certificate Forms:

Petition for Degree/Certificate 
Diploma-Certificate Replacement

Admissions & Records

Student Services Center, Room 115

2600 Mission Bell Drive
San Pablo, CA 94806
(510) 215-6027
Fax: (510) 412-0769

Office Hours:

Monday through Thursday: 8 a.m to 4:30 p.m.

The college is also open late the first Wednesday of every month*
Friday: 8 a.m. to noon

The college is closed on Friday during the Summer – June 5, 2015 through August 7, 2015

*1st Wednesday of the Month: 8 a.m. to 6 p.m.
Wednesday, June 17, 2015
Wednesday, July 1, 2015
Wednesday, August 5, 2015
Wednesday, September 2, 2015
Wednesday, October 7, 2015
Wednesday, November 4, 2015
Wednesday, December 2, 2015