Fillable Intent-to-graduate INTENT TO GRADUATE APPLICATION

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Intent-to-graduate INTENT TO GRADUATE APPLICATION

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The Intent-to-graduate INTENT TO GRADUATE APPLICATION form is 1 page long and contains:

  • 2 signatures
  • 22 check-boxes
  • 14 other fields

Country of origin: US
File type: PDF

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Select yes or no for each question
YES
NO
May we contact you for future EFSC events, e.g., job opportunities or alumni activities?
YES
NO
I plan to attend the Commencement ceremony. RSVP accepted up to the published deadline for guest tickets.
(Summer graduates are invited to participate in the fall ceremony but must RSVP by the end of summer term.)
YES
NO
Are you active military or a veteran with an honorable or general discharge?
YES
NO
If you are a student with a disability, do you require accommodation to participate in the ceremony?
YES
NO
Are you currently attending another school? If yes, please list below and provide final, official transcripts to EFSC.
List below all distinctions with which you will graduate, e.g. PTK, Core Scholar, Honors Program, Citizen Scholar
Student Signature
Date
Advisor Signature*
Date
*PLEASE NOTE: Student must have run an online audit on myGPS or have an advisor’s signed approval or before submitting application. Submitting
the application is your signature agreement that you had a preliminary audit either online or with an advisor.
Advisor Notes/Comments:
PLEASE NOTE:
• A final degree audit by the Office of the Registrar will determine student’s eligibility for graduation.
• The commencement ceremony is photographed and filmed for broadcasting on social media, WEFS and www.easternflorida.edu. By participating in
commencement activities, you authorize EFSC to photograph, record, and/or broadcast your name, image, voice, and/or likeness, and expressly grant
EFSC the perpetual right to use your name, image, voice, and/or likeness without compensation for any purpose in any medium.
SCA-075 R050318
Do not write in this area ~ Office of Registrar Use only
Term/Year Applying for:
Spring
*Summer A
Summer B
Fall
YEAR: ______________________
*Summer A must complete all courses by end of the first six-week session.
Please submit completed application to campus cashier
with non-refundable graduation fee.
CASHIER STAMP RECEIPT #
STUDENT ID:
First Name
Middle Name
Last Name
The U.S. Postal Service will not forward official EFSC mail. Please keep your address current to ensure receipt of your diploma.
Street City State Zip Code
Daytime Phone Number
Personal Email Address
PLEASE CHECK TYPE OF DEGREE OR CERTIFICATE (Submit a separate application for each degree. You do not need to apply for the imbedded
certificates within an AS or BAS degree. They will be awarded automatically, if requirements are met.)
☐
BACHELOR OF APPLIED SCIENCE (BAS)
☐
ADVANCED TECHNICAL CERTIFICATE (ATC)
☐
BACHELOR OF SCIENCE NURSING (BSN)
☐
APPLIED TECHNOLOGY DIPLOMA (ATD)
☐
ASSOCIATE IN ARTS (AA)
☐
COLLEGE CREDIT CERTIFICATE (CCC)
☐
ASSOCIATE IN SCIENCE (AS)
☐
POSTSECONDARY ADULT VOCATIONAL CERTIFICATE (PSAV)
DEGREE/CERTIFICATE
PROGRAM TITLE
CATALOG
YEAR
Office of the Registrar, Building 2-220, 1519 Clearlake Rd., Cocoa, Florida 32922
INTENT TO GRADUATE APPLICATION
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Intent-to-graduate INTENT TO GRADUATE APPLICATION

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Completed 17 November 2019

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