ClintonCommunityCollegeHealthServicesManagementA.A.S.GraduationApplication
RevisedFall2018
COMPLETIONTERM MAY:___ AUG:___ DEC:___ Year:______ C#:__________________
PRINTNAMEEXACTLY ASDIPLOMA SHOULDREAD:___________________________________________
MAILINGADDRESSTOSENDPRINTEDDIPLOMA:_____________________________________________
______________________________________________________________ APT._________________
CITY:________________________ STATE:____________ ZIPCODE:_________________________
PHONE:________________________________
EMAIL:_____________________________________
CEREMONY(CHECKONE):WILL___ORWILLNOTATTEND___
Willattendceremonyshortcredits(≤6cr.):___Willtransfercreditsbackfrom:__________________
Discipline Credit
Hours
CourseTitle Scheduled Transfer Crs.
Earned
English(6Credits) 3 ENG101‐EnglishComposition
3 ENG102‐Literature&Composition
Communications(3Credits) 3 COM101‐PublicSpeakingOR
COM226‐IntrotoHumanCommunication

HPE/HealthServices
Management(15Credits)
3 HPE101‐PersonalHealth
3 HSM111‐CommunityMedical&Public
HealthCare

3 HSM112‐IssuesinLongTermCare
3 HSM211‐MedicalProblem&Programs
3 HSM212‐ManagementHealthFacility
ComputerSC.(3Credits) 3 CSC102‐IntroductiontoMicrocomputer
Applications

Business/Accounting(19
Credits)
4 ACC120‐FinancialAccounting
3 BUS101‐BusinessOrganization&
Management

3 BUS210‐PrinciplesofMarketing
3 BUS213‐BusinessCommunications
3 BUS215‐HumanResourceManagement
3 BUS250‐PrinciplesofManagement
SocialScience(6Credits) 3 PSY101‐IntroductiontoPsychology
3 SOC101‐IntroductiontoSociology
Math/Science(7Credits) 3 MAT103‐MathFunctionsorhigher
4 NaturalSciencewithaLab
Nursing(1Credit) 1 NUR106‐MedicalTerminology
Total 60
StudentSignature:_____________________________________________Date:____________________
AdvisorSignature:_____________________________________________Date:____________________
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