Counselor/Staff signature: _________________________________________ Code: __________ Date: ________________
Other documents to be submitted, notes, etc.:
APPLICATION for ASSOCIATE DEGREE or CERTIFICATE of ACHIEVEMENT
Associate in Arts or Science (AA/AS)
Liberal Arts & Sciences with Emphasis in: ☐ Arts & Humanities ☐ Science & Mathematics ☐ Social & Behavioral Sciences
☐ _____________________________________________________________________________________________
☐ _____________________________________________________________________________________________
☐ _____________________________________________________________________________________________
GE Pattern for Associate Degrees (Select ONE. Refer to program requirements for options):
☐ IGETC-CSU ☐ IGETC-UC Area 6A met by: _______________________________________ ☐ CSU GEB ☐ SBCC GE
High school transcript on file (if applicable): Yes ☐ No ☐
Student ID: K __________________________ Student Last Name on record: _____________________________________
Print full name below as it should appear on the diploma. Clearly indicate any special instructions (capitals, spaces, accent marks, etc.)
__________
__________________________________________________________________________________________________________________________
First Name Middle Name or Initial Last Name
Catalog Year: _____ - _____ Term Completed:
☐
Fall
☐
Spring
☐
Summer 1
☐
Summer 2
Year:
e.g. 19 - 20 Use a separate application for each term
Associate in Arts or Science for Transfer (AA-T/AS-T)
☐ ____________________________________ for Transfer ☐ __________________________________ for Transfer
GE Pattern for Trans
fer Degrees (Select ONE. Refer to program requirements for options):
☐ IGETC-CSU ☐ CSU GEB ☐ IGETC for STEM
Certificates of Achievement
Printed diplomas are not provided for IGETC or CSU certificates.
☐ IGETC ☐ CSU GEB ☐ ___________________________________ ☐ _________________________
Banner entry: ________________ Number: ______ Audit: _____ TAPPER: _____ Articulation review: ______________________________
SBCC GPA: ______________ Honors
☐ Awarded ☐ Denied ☐ Final review: _____________________ rev. 4/29/20 an
Graduation substitution/waiver petition: ☐ already on file OR ☐ to be submitted to A&R
☐ AP / IB credit used to meet requirements. Official scores on file: Yes ☐ No ☐
☐ Coursework at other schools used to meet requirements. List all schools below. Official transcripts are required.
Student signature: ________________________________________ OR ☐ Student not present. Completed by counselor/staff
Diploma information: sbcc.edu/diplomas Commencement information: sbcc.edu/commencement
