Fillable Bas Only Intent To Graduate (Eastern Florida State College)

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Bas Only Intent To Graduate (Eastern Florida State College)

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File type: PDF

U.S.A. forms for Eastern Florida State College

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*Must complete all courses by end of the first six week session.
BACHELOR OF APPLIED SCIENCE DEGREE
INTENT TO GRADUATE APPLICATION
Applying for: Spring
Summer 1*
Summer 2 Fall
Cashier
Stamp
RECEIPT #
STUDENT ID B#:
Please print LEGAL name using upper and lower case – Use black or blue ink to complete this form.
First
Name
Middle
Last
Name
The U.S. Postal Service will not forward official EFSC mail. Please keep your address current to ensure receipt of your diploma.
Street
City
State
Zip Code
Daytime Phone
Personal
Email Address
PLEASE CHECK DEGREE
(
Submit a separate application for each degree)
SPECIALIZATION
PROGRAM
CODE
CATALOG YEAR
Yes
Yes
No
Yes
No
Yes
No
I
plan
to attend the
Commencement ceremony (
Summer graduates are invited to participate in the fall ceremony.)
Are you active military or a veteran who has received a
n honorable or general discharge?
If you are a student with a disability, do you require accommodation to participate in the ceremony?
Are you currently attending another school? If yes, please list below and provide final, official transcripts to EFSC.
Student
Signature
Date
Advisor
Signature
Date
Student must have an advisor’s signed approval or have run an online audit before submitting application. Submitting the application is
your signature agreement that you had a preliminary audit either online or with an advisor.
Notes/Comments:
A final degree audit by the Office of the Registrar will determine student’s eligibility for
graduation.
PLEASE NOTE: The commencement ceremony is photographed and filmed for broadcasting on WEFS and www.easternflorida.edu.
SC-165 R062315
Office
of the
Registrar
Bldg.
2,
Room
220
1519
Clearlake Road
Cocoa,
Florida
32922
Please submit completed
application to campus
cashier with non-refundable
graduation fee.
______________________________________________
______________________________________________
Applied Health Sciences: BAS/HSBS
Computer Information Systems Technology: BAS/CTBS
Organizational Management: BAS/OMBS
No
Yes
No
May we contact you for future EFSC events, e.g., job opportunities or alumni activities?
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Bas Only Intent To Graduate (Eastern Florida State College)

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Completed 23 July 2020

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