Second Bachelor of Science in Communication Sciences and Disorders
Program Application

Application Instructions

Attn: CSAD2B program
College of Continuing Education
3000 State University Drive
Sacramento, CA 95819-6103

Please note: * (asterisk) Indicates a required field.

Applicant Information

Personal information included on this form will be kept confidential in order to protect against unauthorized disclosure.

Name:

(Maiden Name, Previous Name)

(mm/dd/yyyy)

Address:
Phone:

Academics

Please include the names of all colleges and universities attended. Begin with the last institution attended. Unofficial transcripts must be submitted for each college and university attended other than Sacramento State. Transfer credit included for one college on another college transcript is not acceptable. We will request you to submit official transcripts after you’ve been accepted into the program.

Academic Preparation Add More

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Prerequisite Courses Add More

Please enter the following information for each course completed below. Leave any areas not completed blank. Most of the information may be found on your transcripts. If needed, most colleges allow you to access an unofficial transcript online. You must include grades for all courses completed at the time of application. If you have not completed a prerequisite course, please put “IP” for the grade. Failure to include a course grade may result in disqualification of your application.

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Additional Information

I certify:

I certify under penalty of perjury that I have provided complete and accurate responses to the items listed on this application. I further certify that all official documents submitted in support of this application are authentic and unaltered records that pertain to me. I have read and agree to comply with the statements listed above.

Application Fee:

An application fee of $50 will be collected after eligibility has been determined. You cannot begin courses until the application fee has been collected.

Demographics

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

Voluntary Student Demographic Information

Privacy Policy:

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.

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