Fort Peck Community College
Office of the Registrar
Advisor Name (print)
APPLICATION FOR CERTIFICATE, ASSOCIATE OR ASSOCIATE OF APPLIED SCIENCE DEGREE
All applications for graduation must be on file with the Registrar no later than the end of the third week of the semester of
completion. Applications are valid only for the year (summer through spring) in which they are submitted.
To Be Completed by the Student Attending Ceremony? Yes
Please Type or Print in Ink Year_______________ No
Student Signature _______________________________________________________ DATE: _____________________________
Print Name (
as you wish for it to appear on your diploma
)
Student ID#
Type of Degree:
Certificate Associate of Arts Associate of Science Associate of Applied Science
Fall Spring Summer
Year of Graduation
Catalog Year
Degree Program 2
nd
Degree (additional application required)
Mailing Address
Street
City
State
Zip
Phone
Diploma Address
Street
City
State
Zip
Phone
Cap & Gown Order Information Height___________________________ Weight___________________________
To Be Completed by the Registrar:
Total Institutional Earned Credits General Ed/Related Instruction Complete
Total Transfer Earned Credits Major Requirements Complete
Total Incomplete Credits GPA Requirements Met
Total Credits Currently Enrolled
Total Required Credits
PRINT
click to sign
signature
click to edit
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