Personal information included on this form will be kept confidential in order to protect against unauthorized disclosure.
Are you an international student:
Voluntary Student Demographic Information
The College of Continuing Education at Sacramento State is committed to providing equal opportunity in education. A critical element of our commitment to diversity lies in our ability to collect and assess student demographic data. Your response to the voluntary student demographic information would be very helpful and much appreciated
Please list all post-secondary institutions from which you have been granted degrees/certificates/credentials and from which you have taken relevant coursework.
Work and/or Educational Experience (teaching, counseling, etc.)
Other Experience in Serving Adults with Learning Disabilities
If additional space needed, please attach supporting documents.
Participation in, or successful completion of, the Adult Learning Disabilities Program: Certificate of Academic Achievement does not confer any national or state credential or licensure and is not a guarantee of employment. Completion of the coursework in this program does not qualify participants to make psychological diagnoses or to provide counseling. This program partially meets the requirements for a learning disabilities specialist position as defined by Title 5 of the California Code of Regulations.
The College of Continuing Education respects your right to privacy. Any information given to us when requesting course or
program material will be used solely for the purpose of answering or responding to your request. We do not sell or otherwise distribute
your personal information. We may, however, use it to provide you with advanced notices of our course offerings. If at any time you wish
to be removed from our mailing lists, you may contact us and your request will be processed immediately.