Associate in Major (DTA/MRP) Application
View Distribution List for Transfer Degrees
This form must be received in the
Registration Office at least forty-five days
prior to the end of the quarter you plan to
graduate. The exact deadline can be
found in the class schedule.
Candidate’s name as you want it to appear on the diploma:
What Quarter do you plan to graduate?
Quarter ________
Year ________
oSummer Completi n?
First Name Middle Name or Initial Last Name
Address City State Zip Code
Yes No
Your Student ID # _________________________ and Social Security # _____________________________
Your Telephone # _________________________ Email _____________________________________________________________________
Advisor’s Name-(Signature not required) ________________________________________________________________
Have you earned a High School Diploma? Yes No If no, would you like Lower Columbia College to issue you a High School Diploma? Yes
If you would like to be issued a High School Diploma:
Are you a current Running Start student? Yes No
Are you age 21 or older? Yes No
Note: Do Not Write Beyond This Point
General Requirements
1. Minimum of 90 credits earned: LCC credits earned _________
a. Cours
es numbered 100 and above (Grade of D or better)
b. Maximum of 15 pass/fail credits (see catalog for limitations) LCC credits in progress _________
c. Maximum of 15 combined 288, 289 and 299 credits
d. Maximum of 3 PHED activity credits Credits earned from another institution _
e. A course may not be used in more than one Basic Skills/Distribution Area
Grade point average of 2.00 on courses numbered 100 and above Yes ______ No ______
Two quarters in residence, including the last quarter
Yes ______ No ______
At least 24 credits earned at LCC
es ______ No ______
Basic Skills
A. Communications (10 credits): ENGL& 101 (5 credits) and ENGL& 102 (5 credits) or ENGL& 235 (5 credits)
B. Quantitative Skills/Mathematics (5 credits):_____________________________________________
Distribution List
Humanities - no more than 10 credits from any one discipline, no more than 5 credits in performance/skills courses. No more than 5
credits in foreign language at the 100 level
Natural Sciences a 5 credit lab course is required, no more than 10 credits from any one discipline, no more than 5 credits from
Mathematics, Computer Science, and Engineering disciplines collectively. Courses used to satisfy this requirement may not also satisfy the
Quantitative Skills/Mathematics requirement.
Social Sciences - no more than 10 credits from any one discipline
Diversity - five credits must be completed from courses on the Diversity List. Courses satisfying this requirement may also be used to
satisfy other graduation requirements.
Program Requirements completion of the program of major study as prescribed in the Academic Catalog.
Electives - Of the remaining credits taken to earn 90 credits for the degree, no more than 15 credits may be taken from the Restricted Course
Date Application Received ___________________________ Application Approved ____________________________________
Application Disapproved ____________________________ Signature _____________________________________________
Form Revised 11/17 RLP/KDM
Lower Columbia College Registrar • 360-442-2370 •
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