Forms


Admissions & Records Forms

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– Spring 2015
Enrollment and Registration Forms:
Enrollment Card
Transfer Card
Petition to Repeat
***Course Conflict Form******Forms are Available at the Division Department
Unit Overload Form
Pass/No Pass Request
Late Add Petition
Reinstate Request Form-Located in A&R
Concurrent Enrollment K-12 Students (Special Admissions)
***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
Transcript Evaluation Request
Veteran Forms:
***VA Request for Verification Worksheet (Required every semester)***Steps to Success – ChecklistVets

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:
Option 1: Request Transcripts Via InSite Portal Transcript Request Form (Previously Enrolled Students)
Free Enrollment Certifications may be requested via the InSite Portal from the National Student Clearing House or Enrollment Certification Form
Declaration or Change of Major Form
Change of Personal Information Request/Address Change Form
Appeal Forms:
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
Email: admissions@contracosta.edu


***Starting on October 17th the Admissions office will be open from 8am – 12noon for the duration of the semester.

*** October 17th – December 22nd

Day Open Close
Monday 8:00am 4:30pm
Tuesday 8:00am 4:30pm
Wednesday 8:00am 4:30pm
1st Wednesday of the Month 8:00am 6:00pm
Thursday 8:00am 4:30pm
Friday 8:00am 12:00pm

 

1st Wednesday of the Month:

​Wednesday, August 20th, 2014 – First Wednesday of the Fall 2014 Term

Wednesday, September 3rd, 2014

Wednesday, October 8th, 2014

Wednesday, November 5th, 2014

Wednesday, December 3rd, 2014

 

The office will be closed for the following college holidays:
Veterans Day – November 10th, 2014
Thanksgiving – November 27th & 28th, 2014
Winter Recess – December 23rd to December 31st, 2014
Winter Recess – January 1st to 2nd, 2015
Dr. M.L. King, Jr. – January 19th, 2015
Abraham Lincoln Day – February 13th, 2015
George Washington – February 16th, 2015
Memorial Day – May 25th, 2015