Fillable Request for Evaluation of Certificate Completion (Danville Area Community College)

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Request for Evaluation of Certificate Completion (Danville Area Community College)

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The Request for Evaluation of Certificate Completion (Danville Area Community College) form is 1 page long and contains:

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Country of origin: US
File type: PDF

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Danville Area Community College
Request for Evaluation of Certificate Completion
Please print your name as you want it to appear on your certificate.
Name __________________________________________________________________________________________________________
Last First Middle Name or Initial
Student ID #__________________Primary e-mail address:______________________________________________________
Mailing Address: __________________________________________________________________________________________
Street and/or Post Office Box
__________________________________________________________________________________________
City State Zip Code
Phone Number: ____________________________________ Date: __________________________________
Area Code Number
Will you be walking in our May Commencement Ceremony? YES NO
If yes, please visit HerffJones.com/college/graduation by March 31. After this date contact the DACC Follett Bookstore.
Candidate for a Certificate in _________________________________________________________________________
Area of Study
Indicate the year and semester you will complete: _________Spring _________Summer _________Fall
For DACC Office Use Only
Counselor:______________________________________Date:________________Approved:_________Denied:___________
Division Dean:__________________________________Date:________________Approved:_________Denied:___________
Registrar:_______________________________________Date:________________Approved:_________Denied:___________
Final Review/Registrar:_______________________Date:________________Approved:_________Denied:___________
Comments
: ____________________________________________________________________________________
__________________________________________________________________________________________________
__________________________________________________________________________________________________
GPA:___________/____________Letter Sent:______________Posted:_______________Diploma Sent:________________
1
st
check 2
nd
check
Excel:____________________________________________________________________________
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Request for Evaluation of Certificate Completion (Danville Area Community College)

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Completed 15 September 2020

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