Semester & Year of Graduation: _
1. Please submit one petition per AA/AS/AA-T/AS-T degree for which you are eligible.
2. Sign the petition as indicated and submit it to the Admissions and Records Office by the deadline specified for each
3. Coursework shall be completed as stated in the NVC Catalog under which the student is graduating. At least 12 units
must be completed at NVC.
4. Diplomas will be mailed to the address on file. If your address is new, an Information Change Form with the updated
addressed must be submitted to Admissions and Records for processing.
(Please print clearly & check your Web Advisor account to make sure all personal information is current.)
Catalog being used to determine degree requirements:
Are Course Substitution Petitions being used: Yes _ No (Please attach)
List the areas for which a course substitution petition is being used: _
Title of Degree:
AS Major _
AS – T Major _
AA – T Major
*Please attach NVC IGETC or CSU for Transfer Major
I understand that in order to be awarded a degree from NVC, I
must meet unit, general education, major and graduation
requirements. If I fail to meet any requirements, I understand I
must re-apply for graduation for the next term once all the
requirements are met.
I have reviewed the student’s academic record and have
determined that he/she will meet the entire unit, GPA, general
education and graduation requirements, if completed as
indicated on the petition. It appears that he/she has met the
major requirements, but final approval rests with the Program
Student’s Signature Date Counselor’s Signature Date
Your diploma will be mailed to the address currently on file in A&R approximately 12 weeks after the end of the semester.
2277 Napa-Vallejo Highway, Napa, Ca. 94558
707.256.7200 fax 707.256.7219
Petition for the AA/AS/AA-T/AS-T Degrees
Date of Birth: Email:
Verification of Intent to earn an Associate of Arts/Science
degree for Transfer. Following completion of your AA-T/AS-T
degree evaluation, submit a copy of this form to the admissions
office at each CSU campus to which you have applied. Forms
should be submitted Attn: Admissions. For CSU campus
addresses, please visit www.calstate.edu/transfer.