APPLICATION FOR GRADUATION
PLEASE PRINT YOUR NAME EXACTLY AS IT WOULD APPEAR ON THE DIPLOMA.
NOTE: An official DEGREE AUDIT will be processed automatically with submission of this form; there is no need to submit and additional degree audit form.
NAME:
CURRENT MAILING ADDRESS
If you have other address after graduation please fill this part out
Mailing Address:
Mailing Address:
City:
State:
Zip:
State:
Zip:
Day Phone number:
Evening Phone number:
DEGREE INFORMATION
Expected Date of Graduation: Spring Summer Fall Year:
I am applying to receive in the following program(s): (Check all that apply)
Degree
Certificate
Endorsement
PARTICIPATION IN THE GRADUATION CEREMONY: The annual graduation ceremony is held in the spring. All candidates who
complete their requirements during the school year (including the previous summer) are invited to participate in the ceremony. Indicate below
whether or not you will attend the ceremony.
Please advise us if there is any change in your plans to attend the graduation ceremony.
I will be present for graduation.
I will not be present for graduation.
I do not wish my name and degree to be printed in the commencement program.
PLEASE LIST INSTITUTIONS PREVIOUSLY ATTENDED; DEGREES EARNED; DATES OF GRADUATION
Institution Name
Degree Earned (if any)
Date of Graduation
Student’s Signature:
Date:
RECEIVED
O
ffice use only
Office of the Registrar
P.O. Box 749
Barrow, AK 99723
Phone: 907.852.1757 or 1763
Fax: 907.852.1784
Graduation Filing Deadlines: Please see Academic Calendar in current year catalog. A non-refundable $50 fee is charged for each application.
A late deadline fee is $100. Students who apply for graduation and do not complete their program requirements at the end of the term must
reapply for graduation and pay appropriate fee. For Diploma replacement or duplication fee is $20.
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