Transfer Center Information Request
First Name:
Last Name:
Student ID:
	Please use your 8-digit ID not your SS#.
Birthdate:
Telephone:	-
Email address:
Are you currently an enrolled Golden West College student: yes no
Check all that apply: International Student [F-1 visa] CalWORKs/Re-Entry EOPS Disabled Students Student Athlete Have you attended other colleges/universities? yes no If you answered 'yes', are your transcripts on file with the Admissions & Records office? yes no What is your major? When do you plan to transfer [semester/year]? Which institution(s)? Transfer Center Information you wish to receive? [ie: workshops, University tours, Appointment with University Reps etc.] (click on the "submit" button below when you are through)

You are submitting a form which is not secure. The information you are sending can be read while

in transit. Please be note that submitting passwords, credit card numbers, or SS#'s is not advised.