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Forms (Downloadable)

Click on a link below to download and print a PDF version of the form you need. These forms can be faxed to the FLC Admissions & Records office at (916) 608-6569 for processing.

Note: To view the forms, you will need to install Adobe Acrobat Reader onto your computer.

Admissions & Fees
AB 540 non-residency exemption form - for those students who attended a California high school for 3 or more years and graduated - but have left the State, returned and have lost California residency / provides for exemption of non-resident fees until residency is re-established

Advanced Education Packet - for high school students who would like to enroll in college classes with proper approval

Credit Card Authorization form - for faxing credit card information when submitting an official transcript request

Priority 0 and 0.50 Registration – Student Certification form - use this form to request an earlier registration date if you are a Veteran or continuing student who is graduating or transferring (must be certified with counselor meeting)

Residency Reclassification Application (and Instructions) - for students who are requesting a residency reclassification

Records
CSU GE/IGETC Certification Request - complete this form and meet with counselor to certify FLC classes for transfer

Parental Affidavit for Academic Information - for parents who are requesting to access educational records of their child (without direct student consent) / child must be dependent as indicated on most recent Federal Income Tax Return

Pass/No Pass Petition - use this form to change grading basis of a class from letter grade to Pass/No Pass / must be turned in to A&R by published deadlines each semester

Prerequisite Challenge Application - use this form when challenging the prerequisite of a course

Request to Withhold Release of Student Information/Opt-Out - use this form to "opt-out" or request to withhold disclosure of student directory information, per FERPA (Family Rights and Privacy Act) provisions

Student Consent for Release of Records/Request for Records Access form - use this form to approve release of your educational records to a third party, such as parents

Student Petition - use this form to request an exception to college policies such as late add, drop after deadline, refund exception, etc.

Substandard Grade - Repeat Form - use this form to request that a course repeat be noted on your transcript (when course is repeated at a college other than FLC)

Time Conflict/Class Overlap Petition - use this form to request to enroll in a course that has a time conflict with another class

Transcript Request Form - use this form to request that FLC send your official transcript to another college, business, etc.

Veterans' Affairs
FLC - VA Statement of Student Understanding - this form is part of the enrollment process in order to receive VA educational benefits

FLC – VA Request for Certification form - this form should be submitted to FLC A&R every semester in order to use VA educational benefits

FLC - VA Intake form - this form should also be submitted when initiating your VA educational benefits