Intent to Graduate
August 2021
Students planning to complete their degree or certicate requirements in the Summer term must complete and submit this form to the Registrar's Oce no later
than the deadline above. The degree conferral date is August 31, 2021. You will not graduate if we do not receive this form.
The Bursar will apply a $125.00 graduation/degree processing fee to students with an August anticipated graduation date. This is a one-time fee per conferral.
Do not include payment with this form, as the Registrar's Oce does not process payments.
Last name _________________________________________ First name _________________________________ Middle name _________________________
Phone (__________) ________________________ Academic Advisor __________________________________________________________________
Academic program
Check one:
Associate
Bachelor of Arts
Bachelor of Science
Certicate (other than CAGS)
Master of Education
Master of Management
Master of Science
MBA
CAGS
Doctorate
Major / Certicate Title __________________________________________________________________
Career credits required __________________ Career credits earned________________________
Transfer credits (if applicable) _____________ Credits enrolled this term________________________
Will you begin a new Cambridge College degree program next term? Yes No
Do you have any approved course waivers or substitutions? If so, please list course numbers below:
______________________________________________________________________________________
Student signature
on paper printout or electronic* ______________________________________________________
Date _____________________________________________________________
*Please see electronic signature options on the Registrar's web page
.
_
_______________________________________________________________________________________________
Name as you would like it to appear on your diploma or certicate.*
*
You must provide your legal name only as dened by Social Security. Your name will be printed on your diploma
as you see it when you log in to MyCC, so if you need us to change your name in the College database, please
show us legal documents proving the name change. Acceptable documents include marriage certicate, divorce
decree, and change of name petition.
After completing form submit it to:
Registrar's Oce
Cambridge College
500 Rutherford Avenue
Boston, MA 02129
Or email to:
registrar@cambridgecollege.edu
Or fax to:
617.242.0026
Registrar's Oce
Cambridge College
500 Rutherford Avenue
Boston, MA 02129
Phone: 617.873.0101
Fax: 617-242-0026
registrar@cambridgecollege.edu
Form must be received by June 22, 2021
rev. 04/17/20
Student ID#________________________
Your Cambridge College Location
Boston
Lawrence
Springeld
Puerto Rico
Southern California
NEIB
Other:_____________
click to sign
signature
click to edit