Fillable Application To Walk 2019a1 APPLICATION TO WALK IN GRADUATION CEREMONY*

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Application To Walk 2019a1 APPLICATION TO WALK IN GRADUATION CEREMONY*

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The Application To Walk 2019a1 APPLICATION TO WALK IN GRADUATION CEREMONY* form is 1 page long and contains:

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  • 4 check-boxes
  • 13 other fields

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File type: PDF

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rev 5/6/2019
DIABLO VALLEY COLLEGE
SPRING 2019 APPLICATION TO WALK IN GRADUATION CEREMONY – Time frame 4-30-19 through 5-17-19
(Coursework remaining)
This form will not be accepted prior to the last day to drop a full-term class in the spring semester.
Please complete each section of this application as indicated. (Incomplete applications will not be considered.) It is the
student’s responsibility to submit the completed form with a stamped, self-addressed return envelope or the decision will
be sent to your insite email address.
Students must be within two classes of completing their degree or certificate and enrolled for those two classes for the
summer term. After review, a decision will be made based on the information provided, and this form will be returned or
decision emailed to the student.
This section is to be completed
by student.
Mark the appropriate box(es). I will be receiving;
certificate
degree
Name
Student ID#
(Please print)
Last,
First
Email
@insite.4cd.edu
Mailing
Phone
( )
Address
Street Address
Area Code
City
State
Zip Code
* I understand my name will not appear in the program.
* I understand that I must be enrolled in final courses for the summer term.
* I understand I will need to submit an application for my degree during the appropriate filing period once
I have enrolled in the required course.
Student’s Signature:
Date:
This section is to be completed by a counselor or by attaching the Admissions and Records evaluation
indicating the coursework required to fulfill your degree requirements. Proof of enrollment in remaining
coursework must also be attached. Submit this form to Angie Galindo (at the Counseling Office front window).
Course #1
Course #2
I have determined this student will earn her/his degree upon the successful completion of no more than two additional courses. The
student has enrolled in and has assured me s/he will complete the required course during this summer semester.
Counselor’s Signature:
Date:
Dear Studen
t:
Your request to walk at graduation has been Approved Denied
If approved, please bring this form to the DVC Book Center to pick up the graduation ceremony information and to purchase your cap
and gown.
I extend my wishes for success in your future academic endeavors!
Dean of Counseling and Enrollment Services (or designee) Date
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Application To Walk 2019a1 APPLICATION TO WALK IN GRADUATION CEREMONY*

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Completed 26 February 2020

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