Attestation of High School Graduation or Equivalency (CC)

Attestation of High School Graduation or Equivalency

This form must be completed in its entirety by the applicant to be accepted and verified.
City College Campus*
Program applying for*
Full Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Due to the following reasons, I am unable to provide evidence (official transcript or diploma) of high school graduation or its equivalent:*
I understand that one of the requirements for admission is graduation from high school or its equivalent. I hereby certify that I graduated from the following approved school:*
Address of school completed

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Date of graduation*
If for any reason, this attestation of high school graduation or GED completion is found to be false or untrue, I understand that I will not have met an admission requirement for City College and I will not be considered a regular student and, thus, will be subject to immediate dismissal.

Furthermore, I understand that if this attestation is found to be false or untrue, all Title IV financial aid and any state or institutional financial aid that was distributed on my behalf must be refunded to the appropriate source and that I will be responsible for payment to City College for any and all money refunded.

By my signature below, I attest that the information provided above is true and correct to the best of my knowledge. I authorize City College to contact my high school or GED testing facility to confirm the accuracy of the above information.
Signature*

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