7351 Tompkins Hill Rd
Eureka, CA 95501-9300
BEFORE submitting this petition, you are REQUIRED to meet with an Academic Advisor or Counselor.
Petitions not signed by an Advisor/Counselor will NOT BE PROCESSED.
All correspondence will be through your student email address.
FIRST, we want to know about your CR experience!
Complete this quick survey. https//www.surveymonkey.com/s/S2KSDG5
Campus Location: Eureka Del Norte Klamath-Trinity
Name:
Student ID:
Phone Number:
Permanent or forwarding mailing address for
mailing diplomas.
GE Pattern IGETC-UC IGETC-CSU CSU CR
Degree (choose one)
Associate of Science in:
Associate Degree for Transfer:
AA in Liberal Arts, with an emphasis
in:
Anticipated Completion Date: Fall 20 Spring 20 Summer 20
Print your name as you want it to appear on your degree:
This name will be printed in the commencement program. Approved documentation required if deviates from name on file at CR.
Student Signature Date
Reviewed by:
Counselor/Advisor signature REQUIRED before filing Date
Counselor/Advisor Comments:
DEADLINES
Fall Semester-Last Thursday in October
Spring Semester-First Thursday in March
Summer Session-Last Thursday in June
*Your diploma will not be mailed to you if you
have a balance due to CR. Please contact the
Business Office at 707.476.4120 and pay any
monies due.
click to sign
signature
click to edit
click to sign
signature
click to edit