Fillable Petition for Graduation (Clatsop Community College)

Fill Online, Printable, Fillable, Blank Petition for Graduation (Clatsop Community College) Form

Use Fill to complete blank online CLATSOP COMMUNITY COLLEGE pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

Petition for Graduation (Clatsop Community College)

On average this form takes 4 minutes to complete

The Petition for Graduation (Clatsop Community College) form is 1 page long and contains:

  • 0 signatures
  • 10 check-boxes
  • 12 other fields

Country of origin: US
File type: PDF

U.S.A. forms for Clatsop Community College

BROWSE CLATSOP COMMUNITY COLLEGE FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
Petition for Graduation
I am requesting the following certificate/degree
Associate of Arts – Oregon Transfer Degree
Associate of Science – Oregon Transfer Degree in Business
Associate of Science – Oregon Transfer Degree in Computer Science
Associate of Applied Science (Major _____________________________________________)
Associate of General Studies (Concentration _______________________________________)
Certificate (Major ___________________________________________________________)
*
Registrar Notes: Date Conferred:______________
I have read and understand the above statement.
Student Signature: ______________________________________ Date: ________________________
I plan to participate in the June 20__ __Commencement Ceremony Yes No
I would like to be included in future Alumni correspondence Yes No
Phonetic Spelling of Name :
__________________________________________________________________________________________________________
_____________________________________________ ____________________________________________________________
CCC Student ID Email
__________________________________________________________________________________________________________________________________________________________________________________
Last Name First Name M.I. Date of Birth
Non-Discriminaon Declaraon
It is the policy of Clatsop Community College that there will be no discriminaon or harassment on the grounds of race, color, sex, gen-
der, marital status, religion, naonal origin, age, sexual orientaon, gender identy or expression or disability in any educaonal pro-
grams, acvies, or employment. Quesons or complaints should be directed to Desiree Noah, Armave Acon/Gender Equity (Title IX)
Ocer, Lower Library, Suite 103, dnoah@clatsopcc.edu 503-338- 2450; TDD 503-338-2468. The Director of Student Access Services, Mal-
lory Vollner, is in Columbia Hall, Suite 111, mvollner@clatsopcc.edu 503-338-2474.
Accommodaons
Persons having quesons about or a request for special needs and accommodaon should contact JoAnn Zahn, Vice President of Finance
and Operaons, at Clatsop Community College, 1651 Lexington Avenue, Astoria, Oregon 97103, Lower Library Suite 110,
jzahn@clatsopcc.edu Phone (503) 338-2421 or TDD (503) 338-2468. Please send special needs and accommodaons requests here. Con-
tact should be made at least two business days in advance of the event.
Declaración de no-discriminación
Es la políca de Clatsop Community College que no habrá ningún po de discriminación o acoso por razón de raza, color, sexo, género,
estado civil, religión, origen nacional, edad, orientación sexual, idendad de género o expresióno discapacidad en los programas educa-
vos, acvidades o en la contratación. Preguntas o quejas deben ser dirigidas al Desiree Noah, Ocial de Acción Armava / Título IX lo-
calizado en Library número 103 dnoah@clatsopcc.edu número de teléfono 503-338-2450, TDD (discapacidad audiva) 503-338-2468.
Director de Servicios de acceso para estudiantes, Mallory Vollner, se encuentra en Columbia Hall, numero 111, mvollner@clatsopcc.edu
número de teléfono 503-338-2474. Para ADA y otras peciones de servicios llame al 503-338-2474 o para TDD (discapacidad audiva)
503-338-2468.
Ayuda a personas discapacitadas
En cuanto a las personas discapacitadas, se les pide que se comuniquen con JoAnn Zahn, la Vice Presidente de Finanzas y Operaciones en
Clatsop Community College, 1651 Lexington Avenue, Astoria, Oregon 97103, Library Suite 110, jzahn@clatsopcc.edu número teléfonico
(503) 338-2421 o a TDD (503) 338-2468. Haga el favor de nocar a la ocina para que se le pueda proporcionar apoyo. La comunicación
debe tomar lugar por lo menos dos días de trabajo antes del evento por el cual se requiera tal ayuda. Para más información, vea la página
Web de Clatsop Community College bajo Información en Español.
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

Petition for Graduation (Clatsop Community College)

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 4 February 2021

Message

View Audit Log
Print With Audit Log
Duplicate Document