
First Name MI Last Name Social Security Number or CSAC ID
(Please circle one)
Address City State Zip Code
Email Address
Earlier this year the California Student Aid Commission offered you a Cal Grant Entitlement to help pay for
high school graduation to the Student Aid Commission. Use this form to verify that you have graduated from
high school and meet this requirement for your Cal Grant. Read the information on the reverse side to help
you complete this form correctly.
A I have completed all of my high school requirements, including passing the California High School
Exit Exam (CAHSEE), if required.
Month and year of graduation:
Name of high school or agency:
City, state, country of high school:
Or
B
Or
C
Or
D I do not meet any of the three statements above.
my high school graduation requirements, including passing the CAHSEE exam if my school requires
Signature
Daytime telephone number Date
Attention:
You can certify this online at https://mygrantinfo.csac.ca.gov
Step 2
G-8 (05/08)
Fall 2008 College of Attendance: