Community College Faculty Preparation Certificate Program Application (CCFP) 2026

Application Instructions

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)

Home Address:
Work Address:
Phone:

Academic Preparation Add More

Please list all colleges and universities from which you earned your master’s degree, bachelor’s degree, and other relevant degrees/certificates/credentials

Work and/or Teaching Experience Add More

(150 characters left)

Additional Information

I certify:

Participation in, or successful completion of, the Community College Faculty Preparation certificate program does not confer any national or state credential or license and is not a guarantee of employment. 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 $30 will be collected after eligibility has been determined. You cannot be enrolled into the program 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

Which best describes your gender? (choose all that apply)
Which of the following best represents your racial/ethnic heritage? (choose all that apply)
Please identify your age (choose one)
Please identify your highest degree or level of education (choose one)

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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