Fillable Ind Studies AAS Form FA14-present

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Ind Studies AAS Form FA14-present

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Clinton Community College Individual Studies A.A.S. Graduation Application
Effective Fall 2014
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 or
ENG235–Technical Writing
Humanities or
Social Science
(6 credits)
Math above 100 or
Science with a lab
(6‐8 credits)
Individual Studies
Electives (3 credits)
From above disciplines
Free Electives
(37‐39 credits)
Total
60
Student Signature: ____Date:
Advisor Signature: ____Date:
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Ind Studies AAS Form FA14-present

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Completed 9 February 2020

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