SDSU-LTC Student Nomination Form 2024/25
Incoming eligibility standard: Please check the website for incoming DLPT/OPI score requirements. Students can participate in any course online or in-person.  Please contact Evan Rubin if you have questions (erubin@sdsu.edu)
Note: If you have multiple nominees you will have to complete this form multiple times

Click the link to view the course descriptions: https://larc.sdsu.edu/ltc/#courses
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Select a course *
If the course is listed as Hyflex, will you attend online via Zoom or in-person at SDSU? *
Student Name *
Last, First
Civilian Email Address *
ie. john@ymail.com (submit only one email address)
Cell Phone Number *
xxx-xxx-xxxx
Incoming DLPT Score *
and OPI if available
Date of Incoming DLPT *
MM
/
DD
/
YYYY
Sending Unit Contact Information *
CLPM/POC Name, Email, and Phone Number
Thank you for submitting a student nomination.  
To make another nomination press Submit below then Submit Another Response on the next page.
You will receive an automatic email confirming your self nomination.
Submit
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