I am applying for semester:
CCSF Student I.D. or Social Security Number :
Date of Birth:
Number and Street Apt. #
Home Phone: -
I am requesting exemption because: (Select one)
have already earned an A.A./A.S. degree or higher (U.S. accredited
college / university only)
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)
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.
Information session about registering for classes at CCSF,
instructional programs and support services available to new
students. Explanation of test results.
Advisement on course selection and completion of initial Educational Plan.
I declare that the above information is true.