Counselor/Staff signature: _________________________________________ Code: __________ Date: ________________
Other documents to be submitted, notes, etc.:
A&R logged:
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
Select all that apply:
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
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