Revised 10/2015
It is the policy of the Alabama Community College System and Snead State Community College, a postsecondary institution under its control, that no person
shall, on the grounds of race, color, disability, sex, religion, creed, national origin, or age, be excluded from participation in, be denied benefit of, or be subjected
to discrimination under any program, activity, or employment.
Snead State Community College
APPLICATION FOR DEGREE / CERTIFICATE
Please Print Legibly
Semester You Plan to Complete Degree/Cert. Requirements: _________________________________________
Full Name to Be Printed on Diploma: ____________________________________________________________
*Official name changes must take place in the Admissions/Records Office.
Student # __________________________ Email address ____________________________________________
*Correspondence will be sent to Snead State student webmail account so be sure to check it often.
Mailing Address____________________________________________________________________________
City__________________________________________ State ____________ Zip _______________________
*Diplomas are mailed to the address listed on this form approximately 5 weeks following the end of the semester in which the
student meets degree/certificate requirements.
Telephone Number: (Home) _____________________________ (Cell) _____________________________
Type of Award: Associate in Science Degree (AS) □ Associate in Applied Science Degree (AAS) □
Vocational/Technical Certificate □
Are you currently enrolled at Snead State? □ Yes □ No What is your major? _____________________
Comments from student:
________________________________________ ______________________________
Student Signature Date
This form should be submitted to the Office of Student Records (admissions@snead.edu)
at least one semester prior to the student’s anticipated completion date.
Revised 11/2010
Revised 06/2015
FOR OFFICE USE ONLY
Student’s major in Banner matches major above (staff initial and date verified/changed) _______________________
Awarded previous degree/certificate from SSCC?
□ No □ Yes ________________________________________
Award(s) and Date(s)
Final Award Approval:
_________________________________ _______________________________
Vice President for Student Services Date
_________________________________ ________________________________
Instructional Officer / Academic Dean Date
