APPLICATION TO GRADUATE
Degree—Diploma—Certificate
Instructions Receipt # ______________________
Complete this form with your program advisor and submit to the Office of Student Affairs.
All Academic and Financial Aid obligations must be met prior to Graduation.
Allow approximately six weeks after the semester ends for an Official Award to be noted on a student transcript.
Students will be notified when Credentials are ready for pickup.
[ ] I plan to Participate in ceremony. [ ] I do
plan to participate in the graduation ceremony.
The fee is $40 for processing. Degree, Diploma and TCC
An additional $35 fee for Cap/Gown is required for Graduation, payable to Balfour rep.
[ ] I would like my credentials mailed. [ ] I would like to pick my credentials up during the designated times.
Print Name _______________________________________________________Student ID# _________________________
(
This is exactly how it will appear on your diploma/degree/certificate
)
Home phone (_____) _____________ Other phone (_____) _____________ Email __________________________________
Mailing Address_____________________________________________State_____________Zip______________________
Signature ___________________________________________________________ Date ___________________________
Employment Status: Are you employed? ____ Yes ____ No
Where are you working currently? __________________________________________________________________________
What is your job title? __________________________________________________________________________________
Which term will this student be eligible to complete the program(s) of study listed below?
[ ] Summer [ ] Fall [ ] Spring Year_______________
Award (s) Requested:
__________ List Major Code you are completing and circle type: AAS Diploma TCC
Status _____________
__________ List Major Code you are completing and circle type: AAS Diploma TCC
Status _____________
__________ List Major Code you are completing and circle type: AAS Diploma TCC
Status _____________
__________ List Major Code you are completing and circle type: AAS Diploma TCC
Status _____________
Degree Works attached { } Program Advisor Signature___________________________________________Date_____________
The graduation application process is initiated by the student with help from their program faculty advisor. This application should be
submitted the
same month the student pre-registers for their last term of classes. Verify the spelling of your full name in Banner Web and visit
Admissions for address, telephone and/or name changes.
Your name will be printed as indicated on this application and your award will be
mailed to the address indicated in Banner Web.
As set forth in full in the Student Handbook/Course Catalog, Southern Crescent Technical College is an Equal Opportunity Institution and does
not discriminate on the basis of race, color, national origin, sex, age or disability.
Revised 9/16/2020
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