Admissions Office
P.O. Box 3843
Miami, OK 74354
NORTHEASTERN OKLAHOMA
A&M COLLEGE
Shay Clapp
Registrar
(918) 540-6188
Application for Degree
PERSONAL DATA
Print last name, first name, middle initial CWID Current Phone No.
Current Mailing Address (Street/P.O. Box) City, State, Zip Email address
DIPLOMA/C
ERTIFICATE INFORMATION
Name to appear on diploma/certificate (Print first name first)
Mailing address City, State, Zip
*Do not use NEO P.O. Box for Diploma/Certificate Address
DEGREE APPLICATION
Majo
r Advisor
Check type of degree applying for: Associate of Arts Associate of Science
Associate of Applied Science One Year Certificate Two Year Certificate
Check anticipated completion date:
May July December
Year
Check your plans after graduation: Transfer
Work
If transfer, list college:
Other If other, explain:
_______
_______________________________________________
APPLICANT SIGNATURE DATE
APPROVAL
We have checked this student’s records and find the student to be a valid candidate for the degree
requested.
Checked under 20
- 20 Catalog.
Advisor Signature Date Approved
Department Chair Signature Date Approved
OFF
ICE USE ONLY
Date application received: Date of initial review: Date of final review: Date diploma mailed:
Degree Requirements?
Yes No
If no, list reason(s) not met.
Course substitution received?
Yes No
Honors:
President’s Honor Roll Deans Honor Roll
PTK
Degree(s) Awarded: Date degree(s) awarded:
