PERM33A-hh (AC) fillable with signature 6/1/2020
Office of Registration/Student Records
APPLICATION FOR
GRADUATION
Please complete and sign application and return to: SSC 122, Main Campus, Schnecksville; or any site location
or mail to: Office of Registration/Student Records, 4525 Education Park Drive, Schnecksville, PA 18078
or fax to: 610-799-1173 or email to: registrar@mymail.lccc.edu
Instructions: (Please read carefully)
1. Students uncertain as to whether they are ready to apply for graduation should make an appointment with an
academic advisor by calling 610-799-1137.
2. To graduate, all degree requirements must either be satisfied or will be satisfied upon successful completion of
your currently registered course substitutions, or approved course credits transferred to LCCC.
3. If you require special assistance at Commencement, contact the Office of Student Life at 610-799-1146 or email
geden@lccc.edu.
I have reviewed my Degree Evaluation and have attached the copy of that evaluation to this application.
I understand that by applying to graduate I am also applying to change my major, if applicable.
Student ID #: L
____ ____ ____ ____ ____ ____ ____ ____
Name as it should Appear on Diploma
Street Address
City State Zip
Phone Number Personal Email (other than LCCC email)
Type your full name in the Signature box. By typing your name in the Signature box, you certify that you are signing the
completed application.
Student’s Signature Date
Anticipated Month of Graduation (check one): December May August Year:
(Due 10/1) (Due 2/1) (Due 2/1)
Will you be attending Commencement in May? Yes No
COMMENCEMENT CEREMONY IS HELD IN MAY ONLY.
Applicants for AUGUST graduation may participate in that year’s May ceremony.
(All requirements must be complete successfully before a diploma will be awarded.)
DECEMBER graduates may participate in next year’s May ceremony.
Watch your LCCC email for graduation and ceremony information.
Degree, Certificate, or Specialized Diploma Sought
Associate in Arts
Associate in Applied Science
Associate in Science in ____ ____ ____ ____
Certificate Please use a 3- or 4-letter major code (see back)
Specialized Credit Diploma (one major per application)
OFFICE USE ONLY
PRELIMINARY: Applicant is eligible to graduate:
Yes
No Catalog Year:
If no,
FINAL: Applicant is eligible to graduate: Yes No
If no,
Preliminary Review Date: Diploma Ordered Date:
Final Review Date: Diploma Mailed Date:
