Strategic Enrolment Services
2000 Simcoe Street North, Oshawa,ON L1G 0C5
1610 Champlain Avenue, Whitby, ON L1N 6A7
If you require an alternate set-up of this form email email@example.com
First name Last name Student ID
Date of birth (mm-dd-yyyy) Phone number Email
Program of Study (Mandatory)
Mailing address (Street number, Street name, Unit number [if applicable], City, Province, Postal code)
This form is for Professional and Part-time Learning (PPL) Centre students or students who are part-time or off-track in their
program. Full-time post-secondary students will apply through MyCampus during the application period.
Your name will be printed on your credential as it appears in your official records (max. 26 characters).
It is your responsibility to ensure you have met all program requirements for graduation.
All borrowed equipment, books, or other items must be returned, and all outstanding fees must be paid.
You must ensure your PPL program is eligible to attend the convocation ceremony.
Choose one option from each list that applies to you:
I am a full-time student in a Diploma/Certificate program
I am a PPL student in a Diploma/Certificate/Board Approved Certificate program
I am a PPL student in a Recognition of Achievement program
I completed a:
1-year certificate program
1-year graduate certificate
2-year diploma program
3-year diploma program
*The graduation fee is assessed in the first semester of a full-time program. If you did not pay this fee when you started your program, you will be
charged $36.94 to have this application processed.
CONVOCATION CEREMONY OPTIONS
Choose one of the following options:
I am attending convocation. Please fill in the Attending Convocation Ceremony Information on page 2. If you are a student with
a disability and require any accommodation, contact firstname.lastname@example.org.
I am unable to attend convocation and request my credential be couriered after the ceremony. (A $10.00** mailing fee applies,
and credential will be sent to the address listed above. If your address has changed, please update through MyCampus). All
requests outside of Canada will be subject to additional courier fees. You will be emailed with total amount owing prior for
I am unable to attend convocation and will pick up my credential at Enrolment Services in the Student Services building at the
Oshawa campus (available one week after the graduation ceremony).
In accordance with the Freedom of Information and Protection of Privacy Act, your personal information is collected, retained and reported to the Ministry of Training, Colleges and Universities under the
legal authority of the Ontario Colleges of Applied Arts and Technology Act, 2002. MTCU collects student-level enrolment-related data, which includes limited personal information such as Ontario Education
Numbers, student characteristics and educational outcomes, in order to administer government post-secondary funding, policies and programs, including planning, evaluation and monitoring activities. Your
personal information may also be used or disclosed for administrative, information technology, law enforcement, statistical or research purposes of the College or ministries and agencies of the Ontario and
federal governments. Further details are available at our Privacy page (http://www.durhamcollege.ca/about-us/legal-privacy) or by contacting the Freedom of Information Coordinator, President’s
Office, 2000 Simcoe Street North, Oshawa, ON L1H 7K4, 905.721.2000 ext. 3292