O R
APPLICATION FOR CERTIFICATE, ASSOCIATE OR
ASSOCIATE OF APPLIED SCIENCE DEGREE
All applications for graduation must be on le with the Registrar no later than the end of the 10th week of the semester PRIOR to the semester
of completion. Applications are valid only for the year (Summer through Spring) in which they are submitted.
To Be Completed by the Student Attending Commencement ? YES
Please Type or Print Legibly in Ink
Yea
r _______________
NO
Print Name (as you wish it to appear on your diploma) Student ID
(-0_______)
Program
Semester of Graduation Year of Graduation Catalog Year
Hometown as you wish it to appear in the Commencement Program
Diploma Address (Street, City, State, Zip) Phone (with Area Code)
***IMPORTANT PLEASE READ***
Please submit your completed application along with your DEGREE WORKS AUDIT, & $50 APPLICATION FEE to
City College, Jacket Student Central. Email: registrar@msubillings.edu
***Advisors Please Complete is Section***
Student has met credit requirement for certicate or degree completion
Student’s Degree Works is updated with all exceptions/substitutions
Student has earned minimum credit hours and/or 51% of credits at MSUB/City College
YES NO
YES
N
O
YES
NO
*Signing this application overrides any non-disclosure forms signed in the past. Any and all graduation information will be released for public
records. I have met with my faculty advisor and understand the requirements I must fulll for graduation.
Degree Candidate Signature Date Email
Department Chair Signature Date
Advisor Signature Date
Advisor Name (print)
is section is for oce use only
Major Code(s)__________________ College(s) ____________________ Degree(s)____________________ Dept(s)__________________
Program(s)__________________ GPA/Grad Yr_________________
Paid? YES NO Receipt #________________ Date_____________ Diploma Sent______________________
updated April 2020
Total Institution Earned Credits __________
Total Transfer Earned Credits __________
Total Incomplete Credits __________
Total Credits Currently Enrolled __________
TOTAL CREDITS __________
General Ed Complete
Major Requirements Complete
City College “C” Grade Requirements Met
GPA Requirements Met
Certicate Associate Associate of Applied Science
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