Cooperative Agreement Worksheet

Step 1 of 2: Submit

To apply for a cooperative agreement, please fill out this form, including transcripts and program acceptance letter if required. This is the first step in the application process. The process may take up to two weeks depending on what you submit. If you are eligible for a cooperative agreement based on the information you provide, you will then be asked to fill out the official cooperative agreement form and provide documentation verifying your identity and in-district address.

Please fill out all information completely to avoid a delay in processing. If you have any questions while completing the form, please Rosalva Mendoza at

Student Information and Academic History
Cooperative agreements do not cover general education courses. General education courses must be completed at PSC before receiving a cooperative agreement, unless you have already completed them elsewhere at the time of this application.
Have you completed or are you currently enrolled in any general education courses? 

Cooperative Agreement Application Information
Cooperative agreements only cover certificates and AAS degree programs (AA or AS programs and individual courses do not qualify). The specific program is a: 
Do you have an acceptance letter for this specific program? 
If yes, please attach a copy along with this form below.
Attach any required documentation to support your application.