CAHSEE Diploma Request Form

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This request is not for duplicate diplomas. Contact Records Management for transcript requests.

California Legislative Information SB-172

Based on the current legislation that was signed into law on Oct. 7, 2015 by Governor Brown, SB172 now mandates that school districts issue diplomas for students who have met all Local Education Agency graduation requirements other than the passage of the CAHSEE starting with the class of 2006 and ending with the class of 2015. If you graduated before 2006 or after 2015 this request does not apply.

Complete the form below if you believe you meet these requirements. Applications will be reviewed by the Long Beach Unified School District for completion of applicable requirements. You will be contacted by email after review of the application with next steps. Please allow up to 4 weeks to process the application.

Email *

First Name

Last Name *

Date of Birth *

YYYY

School Attended *

Did you attend Long Beach School for Adults? *

Yes

Graduation Year *

Student ID #

Address

City

State

Zip Code

Phone Number *

How would you like to receive your Dimploma? *

Additional Notes or Comments

A copy of your responses will be emailed to the address you provided.

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