HTP Certificate of Completion

HTP Certificate of Completion

G#

First Name

Last Name

Year of HTP Completion

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Today's Date

Email

Phone

Home Address

Graduation/Transfer Status

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Academic Major

Honors GPA

Total Honors Units

Which UC's did you apply to?

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UCLA APPLICANT AGREEMENT*

You must read & select BOTH statements

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Major on UC Application

UC Application ID Number

List Colleges Other than UC's You Applied To

Course #1 taken with Honors Contract

Semester & Year Contract Course #1 Completed

Grade for Course #1

Units

Course #2

Semester & Year Course #2 Completed

Grade for Course #2

Units for Course #2

Course #3

Semester & Year Course #3 Completed

Grade for Course #3

Units for Course #3

Course #4

Semester & Year Course #4 Completed

Grade for Course #4

Units for Course #4

Course #5

Semester & Year Course #5 Completed

Grade for Course #5

Units for Course #5

Additional Courses or Comments

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