APPLICATION FOR DEGREE
Associate in Arts/Associate in Science
Admissions & Records Office, 3000 Mission College Blvd, Santa Clara, CA 95054-1897
(Print your name as it is to appear on the degree)
Courses required for the degree will be completed: Year: ____ Fall Spring Summer
AA Major:
AS Major:
GE Pattern: AA/AS CSU GE-B IGETC
NOTE: Completion of either of the CSU GE-B or IGETC pattern qualifies you for a Certificate of
Achievement. Complete the Application for Certificate.
1. Have you taken a course(s) from another institution(s)?
Yes No
2. In order to provide a prompt evaluation of your petition, list all colleges previously attended and
the date you requested your transcript sent to Mission College
PREVIOUS COLLEGE(S) ATTENDED
3. List Course Substitution: approval must be obtained by Major Department Chair.
SCHOOL WHERE
COURSE(S) WAS TAKEN
SUBSTITUTE FOR MISSION
COLLEGE COURSE
DEPARTMENT CHAIR SIGNATURE
4. How did you meet the Reading Proficiency Requirement?
Reading 054 course
Proficiency Exam Course from other college
5. How did you meet the Information Competency Requirement?
LIB 010 Proficiency Exam Course from other college
6. INTERNATIONAL STUDENTS: This application must be signed by a Designated School Official (DSO)
DSO Print: Signature: Date:
Student Signature: Date:
REQUIRED: Complete the worksheet on Page 2
Name: SID#:
Last Name, First Name
All Official Transcripts that apply to your degree must be on file in the Records Office
or your Application for Degree will be DENIED