Will you be participating in
the May Commencement
Ceremony?
SUMMER 2020
FALL 2020
Anticipated Term of completion (Check one):
SPRING 2020
Note: If courses from outside institutions are being applied toward the degree, an official transcript must be on file and evaluated at SMCC
before this application can be processed.
Enrollment Services Office
7050 South 24
th
Street
Phoenix, AZ 85042
602.243.8123
$25 - Participation Fee (Regalia/Diploma Cover/Announcements)
$5 - Diploma Cover Only
$5 - Duplicate Diploma
- Paid? Date: ___________
I am applying for an:
Student ID Number
Associate Degree
Certificate
APPLICATION FOR GRADUATION, DEGREE & CERTIFICATE
First Name Last Name
Phone Number
The name printed on the degree/certificate and program will be the same as the full primary name on record in our
Student Information System. Degrees and certificates will be mailed to the address on your Student Center. Please
verify all information in your Student Center is correct. Changes to your primary name will need to be made with the
Enrollment Services office.
The Maricopa County Community College District (MCCCD) is an EEO/AA institution and an equal opportunity employer of protected veterans and individuals with disabilities. All
qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, age, or national origin. A lack of English
language skills will not be a barrier to admission and participation in the career and technical education programs of the District.
The Maricopa County Community College District does not discriminate on the basis of race, color, national origin, sex, disability or age in its programs or activities. For Title IX/504
concerns, call the following number to reach the appointed coordinator: (480) 731-8499. For additional information, as well as a listing of all coordinators within the Maricopa College
system, visit http://www.maricopa.edu/non-discrimination.
Weight: _______
Height: ________
Codes
(This Section to be completed with an Advisor)
Comment Prog/Plan FileMaker
Grad Term Carryover Int'l GPA Final GPA
Hnrs
PTK
Distinction
High Distinction
Highest Distinction
I understand that this graduation application is valid for one semester from date of application. If I do not meet the
graduation requirements within the expiration period, I must see an advisor to re-apply and pay all necessary fees. By
signing below I give SMCC permission to print my name and award in publications. The College reserves the right to make
necessary course and program changes in order to meet current educational standards.
By signing this application, you also agree to the following should you participate in the commencement ceremony:
I authorize the Maricopa Community Colleges (including its colleges and related entities) to photograph, video or quote me and to use the
photographs, videos or quotes for educational or promotional purposes in any type of media. The photographs, videos, and quotes may not be
used for profit without my express permission. I understand that I will not be paid or rewarded for providing this authorization. I understand
that by signing this release MCCCD will own the photo/video/quote. Whole quotes may not be used and may be edited by MCCCD.
STUDENT SIGNATURE:____________________________________________________________ DATE: ___________________
ADVISOR SIGNATURE:____________________________________________________________ DATE: ___________________
Catalog Year:
Yes
No
Excluding AGEC, please complete a separate application for each degree/certificate you are applying for.
FOR ENROLLMENT SERVICES USE ONLY
Applications received by the Spring deadline are guaranteed
to be printed in the commencement programs
Rev Mar 20 2020
