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.

Type your name as you wish it to appear on your diploma or certificate:

Name:

Name:

First

Last

Address:
Please use permanent address if you will no longer be at your current address after the semester ends.

Address: Please use permanent address if you will no longer be at your current address after the semester ends.

City

State/Province

Zip/Postal

Student ID Number:

Phone:

Will you participate in the May ceremony?

Yes

No

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

Height:

Weight:

lbs.

Campus for cap and gown pickup:

Canton

Macomb

Havana

Rushville

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

Term:

Summer

Fall

Spring

Year:

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

Program:
(for AAS or Certificate)

Are you a veteran?

Yes

No

Application for Degree or Certificate

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

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

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

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

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