Fillable Application for Graduation or Certicate Completion (Berkshire Community College)

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Application for Graduation or Certicate Completion (Berkshire Community College)

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U.S.A. forms for Berkshire Community College

BROWSE BERKSHIRE COMMUNITY COLLEGE FORMS

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2020-2021 COMMENCEMENT YEAR
Please complete both sides of this form and return to the Registrar’s Ofce, , by the appropriate deadline. Submit one application for each program you
expect to complete.
Check Expected Graduation Date:
 August 31, 2020 (Application Deadline is July 10, 2020)
 December 31, 2020 (Application Deadline is November 6, 2020)
 June 4, 2021 (Application Deadline is March 5, 2021)
STUDENT INFORMATION
Student Name
Student ID  Phone
Address  City  State  Zip Code
DIPLOMA INFORMATION
Please print your name exactly as you wish it to appear on the diploma or certicate. Changes cannot be made after diplomas are printed.
First Name
 Middle Initial  Last Name
Please provide us with a diploma mailing address if different from your current address.
Address  City  State  Zip Code
OTHER INFORMATION
The Registrar’s Ofce will conduct a degree audit of your records to determine if you have completed all requirements for graduation. You and your advisor
will be notied of the results.
If you do not complete all of the requirements, you must re-apply for a later graduation date.
A single Commencement ceremony is held each year in May or June. August and December graduates have their completion noted on the transcript and
receive a diploma in the mail shortly after the graduation date. They are invited to attend the following May/June commencement ceremony.
STUDENT SIGNATURE
I am applying to graduate or complete a certicate from Berkshire Community College.
Signature
 Date
(CONTINUED ON NEXT PAGE)
Application for Graduation
or Certicate Completion
OFFICE OF THE REGISTRAR
(Please type or print)
Berkshire Community College ▪ 1350 West Street, Pittseld, MA 01201 ▪ www.berkshirecc.edu ▪ 413-499-4660 
Rev. May 2020
PROGRAMS OF STUDY
Please check one of the following programs.
A.A. Degree Programs
 A.A. Business Administration
 A.A. Fine Arts (Music)
 A.A. Fine Arts (Theatre Arts)
 A.A. Fine Arts (Visual Arts)
 A.A. Liberal Arts
 A.A. Liberal Arts (Biological Science)
 A.A. Liberal Arts (Biotechnology)
 A.A. Liberal Arts (Early Childhood Education)
 A.A. Liberal Arts (Elementary Education)
 A.A. Liberal Arts (Foreign Language)
 A.A. Liberal Arts (International Studies)
 A.A. Liberal Arts (Psychology)
 A.A. Liberal Arts (Sociology)
Certicate Programs
 Addiction Recovery
 Cannabis Industry (12/31 or 6/4 only)
 CIS Networking
 CIS Programming (Business)
 CIS Programming (Technical)
 Community Health Worker
 Culinary Arts
 Early Childhood Education – Introductory
 Early Childhood Education – Intermediate
 Human Services
 Law Enforcement (12/31 or 6/4 only)
 Massage Therapy
 Medical Coding Technical Skills
 Mental Health Worker (12/31 or 6/4 only)
 Music Production
 Physical Fitness
 Practical Nurse
A.S. Degree Programs
 A.S. Business Careers
 A.S. Business Careers (Health Information Mgmt.)
 A.S. Computer Information Systems (Business Systems)
 A.S. Computer Information Systems (Computer Science)
 A.S. Computer Information Systems (Networking)
 A.S. Criminal Justice
 A.S. Early Childhood Education
 A.S. Engineering
 A.S. Engineering Technology (Computer/Electronic Technology)
 A.S. Environmental Science
 A.S. Fire Science
 A.S. Health Science
 A.S. Health Science (Community Health)
 A.S. Health Science (Dental Assisting)
 A.S. Health Science (Medical Assisting)
 A.S. Health Science (Physical Fitness)
 A.S. Health Science (Pre-Professional Transfer)
 A.S. Health Science (Surgical Technology)
 A.S. Hospitality Administration (Career)
 A.S. Human Services (Social Work Transfer)
 A.S. Nursing
 A.S. Physical Therapist Assistant
 A.S. Respiratory Care
Berkshire Community College ▪ 1350 West Street, Pittseld, MA 01201 ▪ www.berkshirecc.edu ▪ 413-499-4660 
Rev. May 2020
Application for Graduation
or Certicate Completion
OFFICE OF THE REGISTRAR
(Please type or print)
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Application for Graduation or Certicate Completion (Berkshire Community College)

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Completed 26 July 2020

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