COPPER MOUNTAIN COMMUNITY COLLEGE DISTRICT OFFICE OF STUDENT SERVICES
PO Box 1398, Joshua Tree, CA 92252 (760) 366-3791 or (866) 366-3791
NOTICE OF INTENT TO EARN AN ASSOCIATE DEGREE Fax (760) 366-5257
Please PRINT YOUR NAME EXACTLY as you want it to appear on your degree:
______________________________________________________________________________________________________________________
FORMER NAME(s) if applicable: ___________________________________________ Student ID Number ______________________________
Do you have college transcripts or credit other than CMC? Yes No  If yes, please list them on the back of this form.
I expect to Graduate: Fall Spring Summer __________________
(Circle one above) Year I authorize my name to be published in graduate listings: Yes No 
My CMC Degree Major (choose one per form; if you have 2 majors, fill out 2 forms):
Transfer Degree: Cal State ~ Univ of CA ~ Other University Two-year Occupational/Vocational Degree:
Administration of Justice, AS-T
Anthropology, AA-T
Art History, AA-T
Business Administration
Business Administration, AS-T
Communication Studies, AA-T
Computer Science
Computer Science, AS-T
Criminal Justice
Early Childhood Education, AS-T
Economics
Economics, AA-T
Elementary Teacher Education, AA-T
English
English, AA-T
Environmental Studies
History
History, AA-T
Liberal Arts with an Emphasis in:
Arts & Humanities
Social & Behavioral Sciences
Mathematics & Science
Liberal Studies for Elem
School Prep at CSUSB
Mathematics, AS-T
Political Science
Political Science, AA-T
Psychology, AA-T
Sociology
Sociology, AA-T
Studio Arts, AA-T
Automotive Technology
Computer Information Systems
Computer Programming
Fire Technology
General Business
Registered Nursing
Vocational Nursing
Complete the reverse side as well!
Today’s Date ___________________
Phone (cell) ________________________________________
Mailing Address _____________________________________
City, ST, Zip________________________________________
Signature __________________________________________
List ALL colleges you have attended. It is your responsibility to contact those institutions and authorize release of official
transcripts to be sent to Copper Mountain College. Non-traditional credit must also be submitted before an evaluation
can be completed. Your degree will not be conferred until CMC receives ALL official transcripts.
List all other Colleges or Universities Is an official record on file at CMC?
_______________________________________________ YES NO
_______________________________________________ YES NO
_______________________________________________ YES NO
_______________________________________________ YES NO
_______________________________________________ YES NO
_____ I have earned Military Credit (SOCMAR or SOCNAV) YES NO
_____ I have earned CLEP Credit YES NO
_____ I have Advanced Placement from High School YES NO
_____ Other (specify) _____________________________ YES NO
Intents are due by October 1 for Fall Graduates and by March 1 for Spring & Summer Graduates. If submitted prior to
the deadline, your evaluation and notification will be returned to you by the end of the semester. If you are unsure
if you meet graduation requirements, please meet with your counselor to verify. Waiting for a confirmation letter is not
advised. REV 08/19
Graduation notifications are sent to your CMC
email. Check spam & junk folders!
FOR OFFICE USE ONLY:
Evaluation Completed __________________
Notification Memo Roster Entry Current GPA ___________
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Final Graduation Check: Pass Drop/Fail
Transcript Posting Final GPA ___________
Honors Entry: Academic Distinction 3.5 - 3.74
High Honors 3.75 - 3.89 Highest Honors 3.9 - 4.0
- - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - - -
Degree: Printed Notified __________ Mailed/ Rec’d_____________
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