Fort Peck Community College Phone: (406) 768 6300
605 Indian Avenue Fax: (406) 768 6301
Po Box 398 www.fpcc.edu
Poplar MT 59255
GRADUATION APPLICATION
Advisor Name (print)
APPLICATION FOR CERTICATE, ASSOCIATE OR ASSOCIATE OF APPLIED SCIENCE DEGREE
All applications for graduation must be on file with the Registrar no later than the end of the third week of the
semester of completion. Applications are valid only for the year (summer through spring) in which they are
submitted.
To be Completed by the Student
Please Type or Print in Ink
Attending Ceremony?
Yes No
Year:
Student ID #:
Type of Degree:
Certificate
Associate of Arts
Associate of Science
Associate of
Applied Science
Semester of Graduation
Fall
Spring
Summer
Year of Graduation:
Catalogue Year:
Degree Program
2
nd
Degree (additional application required)
Mailing Address
Street
City
State
Zip
Phone
Diploma Address
Street
City
State
Zip
Phone
Cap & Gown Order Information
Height:
Weight:
To Be Completed by the Registrar:
Total Institutional Earned Credits
General Ed/Related Instruction Complete
Total Transfer Earned Credits:
Major Requirements Complete
Total Incomplete Credits:
GPA Requirements Met
Total Credits Currently Enrolled:
Total Required Credits
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