Index under:

GRAD

NSCC APPLICATION TO GRADUATE Complete the top portion of this form and submit to Enrollment and Student Records, email [email protected], or fax to: 978-762-4015 Student ID (N)

Date of Birth

Date:

Name: PRINT YOUR NAME LEGIBLY AND EXACTLY AS IT SHOULD APPEAR ON THE DIPLOMA Current Address

City

State NSCC Email Address:

Telephone (s)

Zip Code

Program of Study you wish to graduate from:

Degree or Certificate (circle one)

Check here______ if you have a course waiver. Check here______ if you are currently or will be taking transfer course(s) elsewhere. Note: An official transcript from the institution must be sent to Enrollment upon completion of the course(s).

Expected completion term and year:  August 20_____  January 20_____  May 20_____  June 20_____

Submit application by: August 1st December 6th April 30th (or March 7th to ensure name in commencement booklet) June 1st (or March 7th to ensure name in commencement booklet)

IMPORTANT: If you are marked as confidential in the Student Records System, your name WILL NOT appear in the commencement program or other graduation materials that are released to the general public. If you are unsure of your confidential status and would like your name to be included in these and other events you must rescind your confidential status. ►►►►►►►►Please initial here ________ to authorize this update to your records.

Graduates will be removed from their program of study. If you wish to continue at NSCC after graduation you need to reapply to the College. Student Signature: NOTE: Applications for the upcoming graduation term will take priority. Once review begins it will take approximately 4 - 6 weeks for processing.

FOR OFFICE USE ONLY Program of Study used:___________ GRAD DECISION: ______ GRA currently enrolled

Evaluator’s Signature

Degree Sequence # ______ (QE)

SHADIPL : name/ updated address _____________ Initials _____ POT (complete grid below) _____ INE (complete grid below) Still needs (list courses or any other requirements not met):

Date

North Shore Community College Enrollment & Student Records One Ferncroft Road Danvers MA 01923

Revised: 2/22/2016