GRADUATION APPLICATION
CLARK COLLEGE
CREDENTIAL EVALUTIONS
1933 Fort Vancouver Way
Vancouver, WA 98663 (360) 992-2805
DIRECTIONS & TIMELINE
Students must submit a graduation application to Advising Services in order to be awarded a degree or certificate. Students are encouraged to
submit the graduation application one quarter before they plan to complete all of their requirements.
• The priority processing deadline for graduation applications is the 10
th
day of the quarter in which the student plans to finish degree or
certificate requirements; applications will be processed in the order received and the degree or certificate will be awarded in the quarter of
completion.
• Graduation applications received after the priority deadline and through the last day of the term will be accepted; applications received during
this non-priority period will be processed in the order that they were received. Applications received after the last day of the term may be
moved to the next quarter.
STUDENT INFORMATION **FILL IN ELECTRONICALLY OR PRINT CLEARLY USING BLACK OR BLUE INK**
PROGRAM INFORMATION **PLEASE CONSULT WITH AN ADVISOR IF YOU ARE UNSURE**
Clark
College
does not
discriminate
on the basis of race, color,
national
origin, sex,
disability,
age,
religion, sexual orientation,
gender identity, gender
expression,
creed,
disabled veteran
status,
marital
status or
Vietnam-era veteran
status in its programs and activities.
LAST NAME FIRST NAME M.I.
Student ID Number
City/State/Zip:
NO
Name:
Name as you wish for it to appear on your diploma:
Diploma mailing address:
Have you transferred in credit from another college? YES
If yes, official transcripts must be on file.
Students currently completing coursework at another institution to fulfill program requirements must send an official transcript following completion.
Do you plan to participate in the June ceremonies? YES
If yes, a cap and gown order must be on file in the bookstore by the published deadline.
I do NOT want my name printed in the Commencement Program, if so, initial here:
Associate in Arts - Direct Transfer Agreement (AA)
Academic Concentration (if applicable):
American Sign Language, Honors, International Studies, News Media, Power
Privilege Inequity, or Women’s Studies
Associate in Arts (MRP) in:
Biology, Business, Math, Nursing or Pre-Nursing
Associate in Fine Arts (AFA) in:
Graphic Design or Studio Design
Associate in Science (AST1) in:
Biological Science, Chemistry, Earth Science, Environmental or Geology
Associate in Science (AST2) in:
Atmospheric Science, Computer Science, Engineering or Physics
Associate in Science (MRP) in:
Bio/Chemical, Comp/Electrical, Aero/Civil/Mech/Materials or Physics
Associate in Arts - Non-Direct Transfer (AA)
Addiction Counselor Education, Nursing, or Elementary Education
Certificate of Achievement (CA) in:
Certificate of Proficiency (CP) in:
STUDENT’S SIGNATURE: ________________________________________ Date:
An alternate format for this document is available upon request. Please contact Disability Support Services at (360) 992-2314 or (360) 991-9901(VP).
Washington State High School Diploma (WSHSD): Will only be granted to students who complete an associate degree and who do not plan to
earn (nor have already earned) a traditional high school diploma.
Phone Number: ( ) -
Associate in Applied Science (AAS) in:
Associate in Applied Technology (AAT) in:
Bachelor of Applied Science (BAS)
Applied Management or Dental Hygiene
NO
