APPLICATIONTOGRADUATEDANVILLEAREACOMMUNITYCOLLEGE
Itmaytake3to4weeksforyourApplicationtobereviewed
Please PRINT legibly and fill in all blanks. Print your name exactly as you want it to appear on your diploma.
1.________________________________________________________________________________________________________
Last Name First Name Middle Name or Initial
2.________________________________________________________________________________________________________
Current Address or P.O. Box # City State Zip Code
3.
Student I.D. # Phone Number Today’s Date Primary E-mail Address
4
. Will you be walking in our May Commencement Ceremony?............................. YES NO
Do you already have a cap & gown?.............................................................. YES NO
To order a cap & gown visit HerffJones.com/college/graduation Deadline is March 31
st
After March 31st,
you may purchase your cap & gown through the DACC Follett Bookstore up to April 30
th
*If we do not see you have a cap & gown, we will assume you are not walking.
5. Are you a Veteran or a current member of the Armed Forces? YES NO
6
. Are you a member of the Phi Theta Kappa (PTK) society? YES NO
7
. Indicate the semester and year (i.e., Spring 15) in which you will complete the courses for your degree:
Spring _______ Summer _______ Fall _______
______ Associate in Arts (AA) ______Associate in Science (AS) ______ General Studies (AGS) ______ Applied Science (AAS)
______Engineering Science (AES) _______Fine Arts in Art (AFA) ______Fine Arts in Art Education (AFAE)
8
. List major/area of study: Major:______________________________________
*******************************FOR DACC OFFICE USE ONLY********************************
_____ This student is currently eligible to graduate.
_____ This student is eligible to graduate pending completion of current courses.
_____ This student is eligible to graduate pending completion of ______________ semester courses.
_____ This student is not eligible to graduate due to the following deficiencies:___________________________________
___________________________________________________________________________________________________
*Please review for multiple degrees and/or certificates, if applicable.
______________________________________________ ________________________________________________
Advisor/Counselor Date Registrar/First Check Date
______________General Education Requirements Met(AAS degree only) __________________________________________________________________
Registrar/Final Approval Date
______________________________________________________________
Division Dean/Program Director Date
__________________________________________________________________
Initial GPA Honors Final GPA Honors
Letter Sent: __________Posted: __________ Diploma Sent: ____________
Excel:_________________________________________________________________Grad. Flag: __________________________D.C.___________________________