Online Matriculation Exemption Form

Please complete this form and submit online.


I am applying for semester:   Fall  Spring  Summer 

CCSF Student I.D. or Social Security Number : - -
Last Name
First Name   Middle Initial
Date of Birth:
Email:


ADDRESS:
Number and Street Apt. #
City   State Zip Code -
Home Phone:  - -
Work Phone:   - -


I am requesting exemption because: (Select one)

I have already earned an A.A./A.S. degree or higher (U.S. accredited college / university only)

I do not intend to do any of the following:

  • ever enroll in more than 9 units of courses at CCSF
  • enroll in any Math, English or ESL courses,
  • enroll in any courses with Math, English or ESL prerequisites
  • earn a CCSF degree or certificate or transfer to a university

I am a matriculating student at College / University, I do not intend to ever enroll in more than 9 units at CCSF, and I meet the prerequisites for the following CCSF courses that I intend to take.  List courses you plan to take:

I am requesting exemption from: (check all that apply)

ASSESSMENT: Placement Testing of Math and English/ESL skills.  Note:  you may be eligible for certain English, Math, and Science courses through standardized tests or college coursework you have completed.  See English and Math Placement Test Waiver Form.

ORIENTATION: Information session about registering for classes at CCSF, instructional programs and support services available to new students.  Explanation of test results.

COUNSELING: Advisement on course selection and completion of initial Educational Plan.


I declare that the above information is true.