Application for Degree or Certificate

INSTRUCTIONS:  Please complete this form, print the finished version, and turn in to your advisor prior to beginning your final term at Spoon River College.

If you are applying for more than one certificate or degree, please complete a separate application for each one.

If you plan to participate in the graduation ceremony in May, a $25 cap and gown fee is required when submitting this application.

Name:
<strong>Name:</strong>
First
Last
Address:
Please use permanent address if you will no longer be at your current address after the semester ends.
<strong>Address:</strong><br /><span style="font-size: 0.9em;">Please <strong>use permanent address</strong> if you will no longer be at your current address after the semester ends.
City
State/Province
Zip/Postal
Will you participate in the May ceremony?

If you plan on participating in May ceremony:
($25 cap/gown fee required at time of application)

lbs.
Campus for cap and gown pickup:

Term and year you plan to complete degree/certificate requirements:

Term:

Degree Objective:
(Complete a separate application for each certificate/degree being completed.)

Objective:
Are you a veteran?