Date: ________________ Counselor/Staff signature: _________________________________________ Code:
Notes, other documents to be submitted, 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: _______________________________________ ☐ 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: ____ - ____ Completion Term (Select ONE): ☐ Fall ☐ Spring ☐ Summer 1 ☐ Summer 2 Year: _________
e.g. 20 - 21
Use separate applications when multiple programs are completed in different terms
Associate in Arts or Science for Transfer (AA-T/AS-T)
☐ ____________________________________ for Transfer ☐ __________________________________ for Transfer
GE Pattern for Transfer 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 ☐ __________________________________ ☐ _______________________________
Ba
nner entry: ________________ Number: ______ Audit: _____ Eval: _____ Articulation review: ______________________________
SBCC GPA: ______________ Honors ☐ Awarded ☐ Denied ☐ Final review: _____________________ rev. 7/14/21 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
__________
☐ CSU GEB
Area
F required?
(Y/N) ______
Area F required? (Y/N) _____
Area F required? (Y/N) _____
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