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 ENG101‐EnglishComposition
3 ENG235‐TechincalWriting
Communications(3Credits) 3 COM101‐PublicSpeaking
HumanServices(30Credits) 3 HUS101‐IntroductiontoHumanServicesOR
SWK101‐IntroductiontoSocialWork
3 HUS105‐IntrotoBasicCounselingSkillsin
HumanServices
3 HUS200‐CaseManagement&Crisis
Intervention
3 HUS201‐SocialServiceAgencies
3 HUS206‐IntrotoWorkingwithGroups
6 HUS283‐Internship&SeminarOR
HUS284‐Internship&SeminarforCASAC
3 HUSElective
3 HUSElective
3 HUSElective
Math(3Credits) 3 MAT101orHigher
Science(4Credits) 4 BIO100
SocialSciences(6Credits) 3 PSY101‐IntrotoPsychology
3 SOC101‐IntrotoSociology
PSY/SOCElectiveAbove200Or
HUS210
3
GOV(3Credits) 3 PSC240‐State&LocalGovernment
Health/PHYS(3Credits) 3 HPE102‐Safety&FirstAid
InformationManagement(3
Credits)
3 CSC102‐MicrocomputerApplications
Total 64
StudentSignature:_______________________________ ______________Date:____________________
AdvisorSignature:_____________________________________________Date:____________________
click to sign
signature
click to edit
click to sign
signature
click to edit