PERM33A-hh (AC) 8/22/18

Office of Registration/Student Records

APPLICATION FOR GRADUATION

Please complete and sign application and return to: SSC 122, Main Campus, Schnecksville; or any site location or mail to: Office of Registration/Student Records, 4525 Education Park Drive, Schnecksville, PA 18078

or fax to: 610-799-1173 or email to: registrar@mymail.lccc.edu

Instructions: (Please read carefully) Use Black or Blue Ink ONLY and PRINT CLEARLY 1. Students uncertain as to whether they are ready to apply for graduation should make an appointment with an

academic advisor by calling 610-799-1137. 2. To graduate, all degree requirements must either be satisfied or will be satisfied upon successful completion of

your currently registered course substitutions, or approved course credits transferred to LCCC. 3. If you require special assistance at Commencement, contact the Office of Student Life at 610-799-1146 or email

geden@lccc.edu.

1 I have reviewed my Degree Evaluation and have attached the copy of that evaluation to this application. I understand that by applying to graduate I am also applying to change my major, if applicable.

Student ID #: L ____ ____ ____ ____ ____ ____ ____ ____

Name as it should Appear on Diploma

Street Address

City State Zip

Phone Number Personal Email (other than LCCC email)

Student’s Signature Date

2 Anticipated Month of Graduation (check one): December May August Year:

Application Due Before: October 1 February 1 February 1

Will you be attending Commencement in May? Yes No

COMMENCEMENT CEREMONY IS HELD IN MAY ONLY. Applicants for AUGUST graduation may participate in that year’s May ceremony.

(All requirements must be complete successfully before a diploma will be awarded.) DECEMBER graduates may participate in next year’s May ceremony.

Watch your LCCC email for graduation and ceremony information.

3 Degree, Certificate, or Specialized Diploma Sought Associate in Arts Associate in Applied Science Associate in Science in ____ ____ ____ ____ Certificate Please use a 3- or 4-letter major code (see back) Specialized Credit Diploma (one major per application)

OFFICE USE ONLY

PRELIMINARY: Applicant is eligible to graduate: Yes No Catalog Year: If no,

FINAL: Applicant is eligible to graduate: Yes No If no,

Preliminary Review Date: Diploma Ordered Date:

Final Review Date: Diploma Mailed Date: