Fillable Ind Studies AA Form FA19-present

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Ind Studies AA Form FA19-present

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File type: PDF

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Clinton Community College Individual Studies A.A. Graduation Application
Effective Fall 2019
SUNY-GER Abbreviations: American History (AH), Basic Communication (BC), Foreign Language (FL), Humanities (H), Math (M), Natural Sciences (NS), Other World
Civilizations (OW), Social Science (SS), The Arts (AR), Western Civilization (WC)
Completion Term
May: ___
Aug: ___
Dec: ___
Year: _________
ID#: C________________________
Print Name Exactly as Diploma Should Read: ____________________________________________________________
Mailing Address to Send Printed Diploma: _____________________________________________________________
Apt. _________________
City: ____________________________________________
State: _______
Zip Code: ___________________
Phone: ________________________________
Email: _________________________________________________
Ceremony (Check One): Will Attend ___ or Will Not Attend ___
Will attend ceremony short credits (≤ 6 cr.): ___ Will transfer credits back from: ______________________________
Discipline
Credit
Hours
Course Title
Scheduled
SUNY-GER
Credits
Earned
English
(6 credits)
3
ENG101–English Composition
BC
3
ENG102–Literature & Composition
H
Humanities
(6 credits)
History or
Social Science
(6 credits)
Math above 100 or
Science with a lab
(6-8 credits)
Individual Studies
Electives
(20-22 credits)
Free Electives
(14 credits)
Total
60
All students in this degree program must complete courses in 7 of 10 SUNY General Education categories,
2 competency areas, and 30 credits of General Education courses.
Student Signature: __________Date: ___________
Advisor Signature: __________Date: ___________
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Ind Studies AA Form FA19-present

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Completed 9 February 2020

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