Fillable Application for Graduation (Portland Community College)

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Application for Graduation (Portland Community College)

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The Application for Graduation (Portland Community College) form is 1 page long and contains:

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  • 13 check-boxes
  • 29 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Portland Community College

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Application for Graduation
NOTE: You may not need to complete this form. Please visit pcc.edu/graduate to see who needs to complete an
Application for Graduation.
_______________________________________________________ _______________________
First Name Last Name MI G#
________________________________________________________ _______________________
PCC Email Address Daytime Phone #
________________________________________________________ _______________________
Student Signature Date
Once your application has been processed and approved, you will receive instructions via MyPCC email on how to
submit the name you want to appear on your diploma/certificate, as well as your diploma address.
WHAT DEGREE or CERTIFICATE ARE YOU COMPLETING? * ONE REQUEST PER APPLICATION *
Check here if CHANGE of degree/certificate Check here if ADDING a degree/certificate
Term of Graduation _____________ Which Catalog Year* Will You Graduate Under? _______________
 Associate of Arts – Oregon Transfer  Associate of Science Oregon Transfer – Business
 Associate of Science  Associate of General Studies
 Associate of Applied Science in ________________________________________________________________
 Certificate

One Year  Two Year Title ____________________________________________________
 Oregon Transfer Module
* See PCC Catalog Degree, Certificate, and Course Overview section for Catalog Year rules.
CLASSES YOU PLAN TO ENROLL IN TO COMPLETE YOUR DEGREE OR
CERTIFICATE
Please include Course Number & Title (Example: WR 121 - English Composition).
Current Term Final Term
1.___________________________ 1. __________________________
2._
__________________________ 2. __________________________
3._
__________________________ 3.__________________________
4._
__________________________ 4. _________________________
Filing Year________
Student Records Use Only
Sequence
_______
Evaluator __________________________ Degree/Certificate____________________________________________
Pending-Candidate Denied Date_____________ Term of Graduation ____________________________
Student Records/Graduation
Phone: 971-722-7100
Fax: 971-722-7135
OTHER COLLEGES YOU HAVE
ATTENDED
Please list the institutions that have
credits applicable to your degree or
certificate.
1. ___________________________
2.___________________________
3. ___________________________
4. ___________________________
It is the student’s responsibility to
have all official transcripts on file
in Student Records.
Mail Form To:
Student Records/Graduation
P.O. Box 19000
Portland, OR 97280-0990
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Application for Graduation (Portland Community College)

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Completed 25 August 2020

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