FILL OUT THIS APPLICATION AND MAIL (or HAND-DELIVER) TO:
SOKO GAKUEN
1881 Pine Street
San Francisco, CA 94109
IF INCOMPLETE OR ILLEGIBLY WRITTEN,
CERTIFICATES CAN'T BE ISSUED.
SOKO GAKUEN NEEDS 2 WEEKS TO PROCESS YOUR
CERTIFICATE.
Your Name___________________________________ ♂♀
Date_________________
. . . . . . . . . . . . .
SURNAME
(last
name), Given Name (first name)
Phone_____________________________ DOB(mmdd,
eg 0911)___________________
Phone# used at Soko Gakuen,
If before W2010 SSN(last
4
digits)___________
if different, write >
Email _______________________________________________________________
BELOW LIST ALL OF THE COURSES YOU COMPLETED
(MOST RECENT
ONE
FIRST).
Example:
BEGINNING 1, SM . .
. . . Fall 2019. . . . Y. Uda .
. . .
. . . . . . 98% . . . . . . . 10/11 (91%)
Course you completed, section . . Term, Year . . .
Instructor's
name . . . Final exam score . . . Attendance rate
Course you completed, section, . Term, Year . . .
Instructor's
name . . .. Final exam score . . . Attendance rate
Course you completed, section, . Term, Year . . .
Instructor's
name . . . Final exam score . . . Attendance rate
Course you completed, section, . Term, Year . . .
Instructor's
name . .. . Final exam score . . . Attendance rate
Course you completed, section, . Term, Year . . .
Instructor's
name . . . Final exam score . . . Attendance rate
Course you completed, section, . Term, Year . . .
Instructor's
name .. . . Final exam score . . . Attendance rate
Course you completed, section, . Term, Year . . .
Instructor's
name . .. . Final exam score . . . Attendance rate
Note:
A CERTIFICATE OF COURSE COMPLETION shall be issued to the student who
has
successfully
completed a course or courses, (i.e., a final exam score of 80% OR
HIGHER
and
an attendance rate of 80% OR HIGHER).
NAME :
ADDRESS :
DO YOU WANT YOUR PROGRESS REPORT(S) ATTACHED TO THIS
CERTIFICATE?
Yes? No?
NOTES or COMMENTS:
.
.