Application For Degree Certificate Diploma
Application For Degree Certificate Diploma
Application For Degree Certificate Diploma
DATE OF BIRTH:
If you have used another name at GCC, list here.
TELEPHONE :
VILLAGE TERRITORY/STATE ZIP CODE
I am meeting or have met requirements for: Associate Degree Certificate Adult High School Vocational High School
(PRINT YOUR LEGAL NAM E AS YOU DESIRE IT TO APPEAR ; INCLUDE SPACES AND CAPITALIZATIONS)
GCC should have received transcripts of my work from the following institution(s):
Date admitted to GCC:_______ Semester Hours completed to date:__________ TOTAL TRANSFER of credits:___________
Residency requirements _____ Met _____ Not Met These courses are:_______________________________________
Cumulative Grade Point Average (GPA): ______________ as of __________.
Recommended for GRADUATION: DIPLOMA ORDERED: ADD TO GRADUATE LIST:
_____ Yes __________ ____________________ _____ Yes _____ No __________ _____ Yes _____ No __________
Graduation Date Program Initials/Date Initials/Date
_____ No (Comments:___________________________________________________________________________________)
_____ UPON COMPLETION OF THE ABOVE REQUIREMENTS
1. REGISTRAR 2. STUDENT FILE 3. STUDENT COPY (mailed to student after processed)
REVISED:04/06