Grossmont College Certificate of Proficiency Request

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Enter Description or Instructions here

What is your student ID number? *

First Name? *

What is your legal first name?

Middle Name?

If applicable, what is your legal Middle Name?

Last Name? *

What is your legal Last Name?

Address *

What is your street address?

City *

City

State *

State

Zip Code *

Zip Code

Phone Number? *

What phone number can we use to contact you?

Email? *

Please provide a current email address where we can contact you.

List all certificates requested *

Check the certificate(s) you are requesting. Requirements can be found at http://www.grossmont.edu/bot/

Account Clerk

Front Office/Receptionist

Medical Office Assistant

Office Assistant, Level I

Office Assistant, Level II

Office Professional

Office Software Specialist, Level I

Office Software Specialist, Level II

Virtual Office Assistant

Certificate of Competency: Completion of 3 levels of any of the Comprehensives

Required

Please enter your name exactly as you want it to appear on your certificate. *

Please enter your name exactly as you want it to appear on your certificate.

Select Delivery option:

How would you like to get your certificate(s)

Send by Mail

Other:

Submitting Grades from Self-Service: Check to confirm that you will submit your grades to Candy McLaughlin. *

IMPORTANT: At the completion of the semester send a digital copy of your Academic History from Self-Service to candy.mclaughlin@gcccd.edu. You may also print a copy and bring it the BOT Lab (Room 70-131). Call to confirm office hours 619-644-7548. Certificates are processed as they are received.

I confirm that I must submit my grades from Self-Service to Candy McLaughlin.

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