Student ID# First Last
Print exactly how your name should appear on diploma
First Middle Last
AA AS
Requirements in progress Term Any additional documents needed for your application?
• Approved course substitution petitions (submit before applying)
• Child Development, Health Tech., and Massage Therapy majors: attach
a copy of front and back of current First Aid & CPR (write your ID# on copy)
• Communication Studies majors: attach approved Specialty Area description
• Official transcript not yet evaluated: school __________________________
9/27/2019
Student Agreement
I agree to notify the Evaluations Office at evaluationsda@deanza.edu of any changes to this application. I understand
must complete any required in-progress courses. It is my responsibility to submit another application if I do not fulfill
the requirements pending.
Yes
N/A 2
For Transfer degrees – you must visit the Counseling and Advising Center to apply.
Note: Liberal Arts degrees – students may earn only one (1) Liberal Arts degree at De Anza.
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X I agree.
CHOOSE your major from the drop-down list. If you major is not listed, please see a counselor.
If meeting major requirements from an old catalog year, enter the year here: _____________
Plea
se visit the Counseling and Advising Center if you have any questions.
ex. 2015-16
e) Timeline: the final degree review, award and issue process
begins after the quarter ends. The process takes
approximately three (3) months to complete; after that time
eligible students will be emailed about diplomas.
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Applying and timeline
a) Confirm your degree completion status in DegreeWorks; check with a counselor if you need assistance.
b) Apply during the quarter in which you will complete all of your degree requirements.
c) Application due dates: Fall – December 1st , Winter – March 1st, Spring – June 1st, Summer – August 1st
d) Submit completed application to evaluationsda@deanza.edu, the Admissions and Records office, the
Admissions and Records drop box, or your counselor.
Note: this could delay your application
sign or type your name
Award date: _____________________
Verified by: _____________________
Date verified: _____________________
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Download and open this form with Adobe viewer software to complete and save.
For Award Quarter: Fall Winter Spring Summer Year 20______
1
No
SAVE & check major after saving
