OFFICE OF THE REGISTRAR
366 Luna Drive Las Vegas, NM 87701
(505) 454-5314 (800) 588-7232 ext. 1224 FAX (505) 454-5348 registrar@luna.edu
Application for Degree
Print name neatly as you want it to appear on your diploma
(A $15, one time, non-refundable Graduation Fee will be assessed to your student account which must be paid at the time this is submitted)
LCC ID#:___________ Date of Birth: ___________ Intended graduation semester: ___ Fall ___ Spring
___ Summer 20___
(Print) _______________________________ _________________ __________________________________
(First name) (Middle) (Last)
Address where diploma will be mailed: __________________________________________________________
City, State & Zip Code: ______________________________________________________________________
Phone: _____________________________ Email: ________________________________________________
Catalog year: _____ 2012-2015 _____ 2015-2018 _____ 2018-2020
Degree/Certificate:_____ AA _____ AS ____ AAS ____ AGS _____ Certificate
Major 1: ______________________________ Major 2: ____________________________
Student Signature: _________________________________________ Date: ____________________
Advisor Signature: __________________ Advisor Name_______________________ Date: ___________
(Signed) (Printed)
**By submitting & signing this form, you are granting permission to be listed on the annual graduation list. If you choose not to be
listed please contact the Office of the Registrar**
