ClintonCommunityCollege HumanServicesA.A.S. GraduationApplication
RevisedFall2018
COMPLETIONTERM MAY:___ AUG:___ DEC:___ Year:______ C#:__________________
PRINTNAMEEXACTLY ASDIPLOMA SHOULDREAD:___________________________________________
MAILINGADDRESSTOSENDPRINTEDDIPLOMA:_____________________________________________
______________________________________________________________ APT._________________
CITY:________________________ STATE:____________ ZIPCODE:_________________________
PHONE:________________________________ EMAIL:_____________________________________
CEREMONY(CHECKONE):WILL____ORWILL
NOTATTEND____
Willattendceremonyshortcredits(≤6cr.):____Willtransfercredits backfrom:__________________
Discipline Credit
Hours
CourseTitle Scheduled Transfer Crs.
Earned
English(6Credits) 3 ENG101EnglishComposition
3 ENG235TechincalWriting
Communications(3Credits) 3 COM101PublicSpeaking
HumanServices(30Credits) 3 HUS101IntroductiontoHumanServicesOR
SWK101IntroductiontoSocialWork

3 HUS105IntrotoBasicCounselingSkillsin
HumanServices

3 HUS200CaseManagement&Crisis
Intervention

3 HUS201SocialServiceAgencies
3 HUS206IntrotoWorkingwithGroups
6 HUS283Internship&SeminarOR
HUS284Internship&SeminarforCASAC

3 HUSElective
3 HUSElective
3 HUSElective
Math(3Credits) 3 MAT101orHigher
Science(4Credits) 4 BIO100
SocialSciences(6Credits) 3 PSY101IntrotoPsychology
3 SOC101IntrotoSociology
PSY/SOCElectiveAbove200Or
HUS210
3
GOV(3Credits) 3 PSC240State&LocalGovernment
Health/PHYS(3Credits) 3 HPE102Safety&FirstAid
InformationManagement(3
Credits)
3 CSC102MicrocomputerApplications
Total 64
StudentSignature:_______________________________ ______________Date:____________________
AdvisorSignature:_____________________________________________Date:____________________
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