Application for Graduation
(First Name)
(Middle Name)
(Last Name)
__________________________________________________________________________________________
(Address) (City/State)
(Zip Code)
Degree Information
Associate of General Studies
Associate of Arts
Associate of Applied Science
Associate of Science
Certificate of Completion
Major:
Major:
Major:
______________________________________
______________________________________
______________________________________
Semester you plan to graduate: 20____
I do
Student Signature: __________________________________ Date: ___________
Diploma will be mailed 6 to 8 weeks after your degree has been awarded unless you have a hold on your record prohibiting your diploma from being released.
Advising Office Approval (For Office Use Only)
___ Student can graduate for applied semester if student successfully completes courses listed below.
___ Student cannot graduate this semester.
Comments:_________________________________________________________________________________
__________________________________________________________________________________________
__________________________________________________________________________________________
Advisor Signature: __________________________________ Date: _____________________
Certificate of Achievement
Fall Spring Summer
GPA: _______
Honors: _______
For Admissions Office Use Only
Received date: _________
Institutional Hours: _________
Start Term: _________
Holds: _________
Print/Type name as it should appear on the diploma/certificate. Provide the address in which the diploma/certificate should be sent.
__________________________________________________________________________________________
Student ID Number: C______________
Phone Number: _____________________
Major(s): ______________________________________
Major(s): _______________________________________
Important commencement information will be shared via your CCC Student Email.
I confirm that I have read and understand all given information regarding graduation.
I do not
plan to participate in the Commencement Ceremony.
($40 fee applies for those participating)
Diploma will be mailed 6 to 8 weeks after your degree has been awarded unless you have a hold on your record prohibiting your diploma from being released.
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signature
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click to sign
signature
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