7351 Tompkins Hill Road
Eureka, CA 95501-9300
10. 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
Evaluator Use Only
Catalog Year: Honors: Posted: Sent:
4 PE Units: Excess: 1. 18 units CR G.E. competed?
9 CE Units: Excess: 39 units CSU G.E. completed?
14 CR/P Units: Excess: 37 units IGETC G.E. completed?
Non transferable : 2. Major/AOE completed?
Cumulative GPA: 3. 60 units complete?
Final GPA: 4. Cumulative 2.0 GPA?
Eligible to Graduate
5. 2.0 GPA at CR?
College UA UC GPTS GPA College UA UC GPTS GPA
Evaluator Signature Date (Verification) Initials
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
Other Names used while attending CR
2. Student ID#
3. Student Email Address
4. Permanent or forwarding address
for mailing degree
5. Telephone Number
6. Will this be your first degree from CR? Yes No
Official transcripts from other colleges must be on file.
7. Degree (choose one)
Associate of Science in _______________________
Associate Degree for Transfer _________________________
AA in Liberal Arts, with emphasis
General Education Option:
IGETC-CSU CSU CR
8. Anticipated Completion Date: Fall 20___ Spring 20___ Summer 20___
DEADLINES: Don’t forget to turn in your Graduation Petition by these dates:
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.
Counselor/Advisor signature REQUIRED before filing Date
BEFORE completing this petition, you are REQUIRED to meet with an Academic Advisor or Counselor.
Petitions not signed by an Advisor/Counselor will NOT BE PROCESSED.
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