Application for Graduation
FALL 2019 COMMENCEMENT GRADUATION DATE IS DECEMBER 13, 2019
Graduate Information
Today’s Date:__________________________ Student ID Number:_____________________________
Full Name:____________________________________________________________________________
(MUST BE YOUR LEGAL NAME AS IT APPEARS ON YOUR SOCIAL SECURITY CARD)
Mailing Address: _______________________________________________________________________
Address City State Zip
Phone Number(s):______________________________________________________________________
Degree Information
Associates Degree or Certificate:______________________ Major:______________________________
Will you be graduating with two or more degrees or certificates? Yes No
Associates Degree or Certificate:______________________ Major:______________________________
Associates Degree or Certificate:______________________ Major:______________________________
Yes No
Will you be participating in the graduation ceremony?
If yes, will you require assistance or special accommodations for the ceremony? Yes
No
If yes, what type of assistance/accommodation is needed? ____________________________________
Have you paid your $15 diploma fee to the Business Office? Yes No
Are you a Veteran? Yes No
If yes, which branch?___________________________________________________________________
During the semester prior to graduation, will you be enrolled at another institution for courses needed
for graduation? Yes No
If Yes, which college?_________________________________________
Fall Commencement is Friday, December 13, 2019 at 5:30 p.m. at
Carl A. Parker Multi-Purpose Center
Applications and fees must be received by November 15, 2019.
Applications will not be accepted after the posted deadline.
Return your completed Application for Graduation to the Records Office, 3
rd
Floor of
the Student Center or deliver as an email attachment to Henryaa@lamarpa.edu
Only approved graduation stoles and cords will be permitted.
