UN IVERSITY of H AWAl'I•
KAUA'I
COMMUNITY COLLEGE
STUDENT INFORMATION
MI
Spring 20
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Admissions & Records Office, One Stop Center 101
3-1901 Kaumualii Highway, Lihue, HI 96766
Telephone: (808) 245-8225
Fax: (808) 245-0102
Email:
arkauai@hawaii.edu
APPLICATION FOR GRADUATION
DEADLINES
Application and Payment for Degree / Certificate: Last Day of Instruction
To have your name printed in the Commencement Program: April 1st
Students are strongly recommended to meet with their academic advisor for a preliminary degree/certificate check. Students are
encouraged to review their STAR and MyUH account to ensure accuracy. Applications must be submitted to the Admissions &
Records Office for processing and payment assessment.
Name:
Last First
UH Number: OR UH Username:
Phone: Personal Email:
Print your legal name clearly as you want it to appear on your diploma or certificate (limit to 45 characters)
Important Note: Acceptable legal names will be determined by your name on record with the UH system
DEGREE INFORMATION
Major: Concentration (see back):
AA - Associate in Arts ($15) AS - Associate in Science ($15) AAS - Associate in Applied Science ($15)
CA - Certificate of Achievement ($15) CO - Certificate of Competence * ASC - Academic Subject Certificate *
I plan to participate in the Spring Commencement ceremony. EXPECTED GRADUATION TERM
*There is no charge for all CO and ASC, unless you plan to participate in commencement.
IMPORTANT INFORMATION
Fall 20__ _____ Summer 20_____ ___
Your student account will be charged the applicable diploma fee. Payment may be made in-person at the Business Office or
online through your MyUH account. Failure to pay may result in a financial obligation to the University of Hawaii.
A complimentary Hawaiian language version of your diploma will be provided at no charge. Please note that the Hawaiian
language version is available for the Associate degrees & CAs ONLY and will NOT include a diploma cover.
Applications received after the last day of instruction will delay the processing and receipt of your diploma.
A notification letter will be sent informing students of their graduation status. Students who do not meet graduation
requirements at the end of the semester are required to submit another Application for Graduation for a subsequent semester.
Diplomas will only be issued to students who have paid their fee and have no outstanding financial obligation on their student
account. Diplomas are mailed to the address on record and must be accurate by the end of the semester.
I have read and
understand the above information. I also understand that this form may not be accepted if STAR reflects any
INCOMPLETE program and graduation requirements.
Student Signature: Date:
Admissions & Records Office Business Office
Catalog Year: PT
SHADIPL CEREMONY
AW
Amount Charged:
DN
$15 $30 $
Amount Paid: $
Processed by:
Date:
COMMENTS:
Revision: 10/2/2019
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