Application for Commonwealth Secondary School Diploma 30 College Credit Option

Step 1Of 2

A Commonwealth Secondary School Diploma (CSSD) may be issued to any Pennsylvania resident who does not possess a secondary school diploma and who is at least 18 years of age upon presentation of evidence of full matriculation and the satisfactory completion of a minimum of 30 semester hours of postsecondary-level courses at an accredited institution of postsecondary education located in the United States.

Required fields are marked with an asterisk. (*)

First Name

Full Middle Name

Last Name

Address

City

State

Zip Code

Date of Birth (MM/DD/YYYY)

Social Security Number (###-##-####)

Phone Number (###-###-####)

Signature

Data collected through this form is secured through encryption.

Documents Needed

Proof of Pennsylvania residency that matches the address above. (PA driver’s license, PA voter’s registration, PA vehicle registration, bank statement, W2 form, lease agreement, utility bill). Please Upload Your Proof of Residency on Step 2 by clicking the "Next" button below.