A DEGREEWORKS AUDIT MUST BE ATTACHED WHEN SUBMITTING YOUR FORM TO THE
REGISTRAR’S OFFICE. FORMS WILL NOT BE ACCEPTED WITHOUT THE DEGREEWORKS AUDIT. IF ALL
REQUIREMENTS ARE NOT MET, THE FORM WILL ALSO NOT BE ACCEPTED.
STUDENTS NEED TO REGISTER FOR THE SPRING 2021 SEMSTER PRIOR TO SUBMITTING THE
INTENT TO GRADUATE FORM.
Please check the semester you anticipate COMPLETION of degree requirements:
Anticipated graduation date: Submit Intent by:
_____ Fall 2020 (degree awarded December 18, 2020) November 13, 2020
_____ Spring 2021 (degree awarded May 15, 2021) March 12, 2021
_____ Summer 2021 (degree awarded August 13, 2021) April 9, 2021
All students are encouraged to attend the May 2021 commencement ceremony. However, designation of honors and high
honors for summer graduates will be confirmed in August once all requirements have been completed.
Student ID: ______________________________________ Major: ________________________________________________
PLEASE PRINT YOUR NAME CLEARLY AS YOU WOULD LIKE IT TO APPEAR ON YOUR DIPLOMA:
Name: ________________________________________________________________________________________________
First Middle Name or Initial Last
Mailing Address: ______________________________________________________________________________
Are you taking a course at another institution to complete your degree requirements? Yes ____ No_____
Proof of registration is required for each course taken outside of LRCC. Taking a course at another institution could delay the
issuance of your degree. A grade of C or better will be needed for credits to transfer.
REQUIRED FOR AUGUST COMPLETION: Students with six credits or less remaining to complete graduation requirements
have the opportunity to be awarded in August, and are invited to attend commencement ceremonies. A grade of C or better must
be received for credits to be transferred.
DUAL MAJORS: If you are a dual major, separate Intent to Graduate forms must be submitted and signed by the
appropriate advisor.
All student responsibilities and financial obligations to the college must be satisfied prior to the issuance of diplomas.
Student Signature Date Advisor Signature Date
Catalog Yr: Roll#: SHADEGR: SHADIPL:
Rev: 9/2020
Office of the Registrar
379 Belmont Road, Laconia, NH 03246
Phone: (603) 524-3207 Fax: (603) 524-8084
Email: lrccregistrar@ccsnh.edu
click to sign
signature
click to edit
![]()
