Note: The name printed on the degree/certicate will be the same as the one recorded in MCC’s Student Information System.
Student ID# _____________________
First ______________________________ Middle ___________________________ Last _________________________________ Sux __________
Mailing Address ______________________________________________________ Telephone (include area code) _______________________
City, State, Zip Code __________________________________________________ E-mail Address _______________________________________
Note: Degree/certicate will be mailed to your address on record. Please be sure your address is correct.
Fall Spring Summer
Application deadline dates November 1
March 1
June 1
List all other colleges/universities previously attended (include locations):
1. _______________________________________________________ 3. _______________________________________________________
2. _______________________________________________________ 4. _______________________________________________________
Note: If courses from other colleges or universities will be applied toward the degree/certicate, an ocial transcript must be on
le and evaluated at MCC before this application can be processed.
I am applying for (check all that applies):
Arizona General Education Curriculum (AGEC) certicate: AGEC-A AGEC-B AGEC-S
Application for Degrees or Certicates:
Program _____________________________ Code ____________ Program _____________________________ Code ____________
Program _____________________________ Code ____________ Program _____________________________ Code ____________
Program _____________________________ Code ____________ Program _____________________________ Code ____________
Program _____________________________ Code ____________ Program _____________________________ Code ____________
Note: A completed check sheet for each degree/certicate must be attached to this application.
Advisor Signature: _____________________________________________________
I have completed the MCC online Graduate Exit Survey. Conrmation # _________________________
I will be participating in the May commencement ceremony? Yes No
$25 commencement fee must be paid to Admissions & Records before the March 1 deadline.
Gown: (Ordered based on height) Height (i.e. 6’2”)________ For special size orders please call 480.461.7794.
I plan to continue my education at MCC after I complete my degree? Yes No
My signature gives consent to publish my name in the college commencement program. For special circumstances, please
contact the Enrollment Services Oce.
Applicant’s Signature: _______________________________________________________________Date: ___________________________________
G.E.:___________ Degree:___________ Catalog:___________ GPA:___________ Final GPA:___________ PTK:___________ Psi Beta:___________
Honors Prgm:___________ CRE101:___________ FERPA:___________ Posted:___________
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