185 Freedlander Drive
Clyde, North Carolina 28721
Applicants are required to complete the Commencement Form and return to Enrollment
Management. The student’s presence at graduation is expected and desired.
Student Legal Name:
Your name will appear on your
degree/diploma/certificate and in the graduation
program as recorded in your official student record at
HCC.
Mailing Address: _ _
City: _
State:
Zip Code: _
Your Academic record will be updated with this address
Student ID Number:
Email:
_
_
Telephone Number:
Multiple Programs May be submitted on 1 Form
Program of Study: _
Important- Read Before Signing: Students hereby understand that approval of this intent to graduate form, and/or participating in
the graduation commencement ceremony, does not guarantee they will be conferred with the requested degree, diploma, or
certificate. Per HCC Procedure 5.2.9.1, conferral of a credential from HCC will only take place after the end of the student’s last
semester when all program requirements for graduation have been completed. If a student fails to meet the requirements by the
conferral date for that semester, they will need to follow the steps to re-apply for graduation during the next semester.
Degrees, diplomas, and certificates will be available upon verification of final grades. All fines due to the College must be paid in full
before degrees/diplomas/certificates are released.
Transcripts: If you require a transcript to be sent to another institution, you will need to complete either an online request or a
transcript request form. Both can be found on the HCC web-site at www.haywood.edu, “Current Students” and choose “transcripts”.
No transcripts will be released for those students who are indebted to the college.
Honors are awarded on Associate and Diploma credentials only. Honors listed in the graduation program are determined by the
cumulative GPA at the end of fall semester; however, honors awarded on your transcript are based on your GPA from your final
completed semester.
Student Signature: Date:
Revised 04/29/20
Office Use Only:
Indebted to HCC? Yes
No
Parking Librar
y
Amount?
Requirements Met: Yes
List
System SGRD UACF
Di
p
loma
Printed:
Date Mailed B
y
whom
Date Pickup up
Commencement Form
I plan to participate in the August graduation ceremony:
(check one)
Yes
No
If attending, how many guests do you expect?
Do you require any accommodations?
Please refer to the HCC web-site at
https://www.haywood.edu/enrollment-management/graduation-information
for graduation dates and times. Please contact the Bookstore regarding costs for
required black cap and gown, accessories, and tassel.
Submit completed form to enrollment@haywood.edu
Office Use Onl
y
:
Term of completion:
Cumulative GPA:
Program GPA:
Honors:
click to sign
signature
click to edit
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