One College Drive
Calais, ME 04619
Enrollment & Student Services 207-454-1034
Instate: 800-210-6932
Fax: 207-454-1092
Application for Graduation
Review your transcript/degree audit with your Advisor and if you are within 6 credits from program completion, submit
completed application to Anne Donahue.
Please print your name clearly as it should appear on your diploma
Last Name: ___________________________________ First Name: __________________________________ M.I.: _____________
Mailing Address: _______________________________________ City: ______________________ State: _________ Zip: ________
Phone Number: ___________________________________ Mobile Phone Number: ________________________________________
Cell phone carrier: US Cellular Verizon AT & T Tracfone Other __________ Text Updates: Yes No
Student ID #: ________________________________ Email address: ___________________________________________________
Advisor: _________________________________________________
Diploma Certificate Program of Study: __________________________________________ Associate Degree
__________________________________________ Associate Degree Diploma Certificate
Month you plan to graduate (please choose one) December May
Veteran of the US Armed Forces
Yes
No
Do you plan to attend graduation exercises in May? Yes No
Will you be returning to WCCC for an additional program after graduation? Yes No
If yes, what program(s)? _______________________________________________________________________________________
Are you planning to continue your education? Yes No
If yes, what College are you transferring to? ________________________________________________________________________
Have you been accepted? Yes No Are you currently registered for courses? Yes No
What is your chosen program of study? ___________________________________________________________________________
Do not submit this form without your Advisor’s signature.
Applicable graduation fee of $75.00 will be applied during your last semester of attendance.
To ensure delivery of your official diploma, please verify that your correct mailing address following graduation is on file.
Student Signature: ________________________________________________________Date________________________________
Advisor Signature: ________________________________________________________Date________________________________
For Office Use Only
Coordinator of Enrollment & Student Services: __________________________________________Date_______________________
Courses missing: _____________________________________________________________________________________________
Non-Discrimination Policy
: Washington County Community College is an equal opportunity/affirmative action institution and employer.
For more information; please call Tatiana Osmond, Affirmative Action Officer, at 454-1094.
RE Form Application for Graduation
Revised: July 8, 2019; amd
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