Fillable NHTI Concords Community College (NHTI – Concord's Community College)

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NHTI Concords Community College (NHTI – Concord's Community College)

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NHTI – Concord’s Community College
Registrar’s Office – nhtiregistrar@ccsnh.edu
31 College Drive, Concord, NH 03301 P: (603)230-4014 F: (603)230-9314
Petition to Graduate Form
A Petition to Graduate Form must be completed and returned to the Registrar’s Office according to the schedule below. I
understand that my graduating is contingent upon having met all academic requirements of my program and of the college.
I will not receive my degree until my student account is paid in full including all fees owed to the College.
Graduating students must earn a minimum cumulative grade point average (CGPA) of 2.0.
Student File Petition
Rev.
Type (S) Grad Date SHADEGR PTKCMNT SHADIPL SPACMNT Scanned Scanned 3-8-19
Student ID:_________________________________ Major:__________________________________________________
Print your name below
CLEARLY and EXACTLY as you wish it to appear on your award:
_________________________________________________________________________________________
Full Name as you wish it to appear on your diploma
MailingAddress:______________________________________________________________________________________
Street City State Zip
Contact Information:___________________________________________________________________________________
Home Phone Cell Phone Personal Email
No
Yes
No
No
Yes
Yes
I wish to participate in Commencement Exercises ......................................................................................
I am a Phi Theta Kappa member...............................................................................................................
I am an honorably discharged, active or reserve military personnel and I would like
to receive an Honor Cord of Distinction to wear during Commencement..................................................
If you have taken or are taking a class(es) at another college and haven’t transferred the credits to NHTI, list the class(es)
below. You must have an official transcript sent to NHTI. Failure to do so may delay your graduation to a future semester.
1)
2)
3)
Student
Signature
Date
For Office Use Only
Please check the semester you anticipate completion of degree requirements.
Anticipated Graduation Date: Submit Petition to Graduate Form on or before:
Fall (degree awarded in December) October 30
Spring (degree awarded in May) November 30
Summer (degree awarded in August) April 30
Final Review _____ RF'd _____ Jostens ___________________
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NHTI Concords Community College (NHTI Concord's Community College)

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Completed 13 August 2021

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