080817v1
HIGH SCHOOL GRADUATION
UPDATE FORM
Service indicator was removed
Records removed from K–12 Group
Reg. Appointment adjusted (if applicable)
A&R Staff
Date
Notes
First name Last name Middle Initial
Student ID Number Age
As of the first day of the
Semester Year
Birth Date ..........
Month Day Year
Graduation Date
Month Day Year
FOR ADMISSIONS AND RECORDS USE ONLY
Please check one financial aid eligible goal:
Earned a U.S. high school diploma
Not a high school graduate / currently enrolled
in adult school
Last attended high school in
Passed the california high school proficiency certificate
Passed the G.E.D.
Please complete the information below.
Today’s Date Student’s Signature
