Request for Articulation Credit

Step 1

Use the link below to apply to the Community College(s) that your class(es) are articulated with: http://home.cccapply.org/

Step 2

Receive your Community College students ID(s) via email.

Step 3

Once you have received your Community College student ID(s) submit the following form.

First Name *

Last Name *

Street Address *

Address Line 2

City *

State *

Zip Code *

Phone Number *

Email Address *

Date of Birth (MM/DD/YYYY): *

Enter your student ID for the college(s) you plan to attend. * Required

Crafton Hills College: ID#

San Bernardino Valley College: ID#

Chaffey Community College: ID#

Riverside Community College: ID#

List the ROP class(es) and the college(s) that you wish to request articulation credit. Please use the following format:

Careers in Nutrition: RCC

Medical Assistant Front Office: SBVC

List Classes and Colleges:

Additional Comments:

Under Federal legislation, namely the Family Educational Rights and Privacy Act of 1974, I understand that my educational records cannot be released without my written permission or a Parental Affidavit of Dependency certified by my parent or guardian.

This information is released subject to the confidentiality provisions of appropriate state and federal laws and regulations which prohibit any further disclosure of this information without the specific written consent of the person to whom it pertains, or as otherwise permitted by such regulations.

In executing this authorization, I fully and completely release and hold harmless all present and past CRY-ROP employers and their officers, agents, assigns and employees, and all other persons and entities from liability for any damage, including, to the full extent allowed by law, liability under the State and Federal Constitutions, California Civil Code Sections 45 and 46 and California Labor Code Section 1054 or any similar laws of other states or political entities, which may result from furnishing information which I am permitting to be released by way of this authorization.

I have carefully read and understand all of the provisions of this authorization and have voluntarily and without coercion or duress agreed to and signed this authorization. I acknowledge and understand that this release is valid until I revoke this release by delivery of written notice to CRY-ROP.

Signature Required (by signing my name, I certify that I am the individual above.)* *

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