AA & BS Degree Candidate Graduation Application

AA & BS Degree Candidate Graduation Application
Full Legal Name*

First NameMiddle NameLast Name
ID Number*
Name as you would like it on your diploma*

First NameMiddle NameLast Name
Hometown & State (where you lived before Emmaus)*
to be listed in the commencement program
Phone Number*

Area CodePhone Number
Email*
Please provide a personal email where you can be reached after Emmaus
Faculty Advisor Email*
example@example.com
Current Address (other than Emmaus)*

Street Address

Street Address Line 2

CityState

Zip Code
Diploma Mailing Address*

Street Address

Street Address Line 2

CityState

Zip Code
I hereby apply for the degree of:*
Major*
Minor/Certificate/Endorsement
Required Credits*
Required GPA*
Planner Year*
example: 2020-21 planner
Month degree is to be conferred:*

MaySeptemberDecember
Year degree is to be conferred:*

DEGREE REQUIREMENTS (courses currently enrolled in and those left to complete your degree)*

MINOR/CERTIFICATE/ENDORSEMENT REQUIREMENTS (courses currently enrolled in and those left to complete your degree)

ADDITIONAL CREDITS REQUIRED (i.e incompletes, independent study, transfer work, failed chapels, failed SLT, low GPA, short required credits)

Upon completion of the work on the Final Check Sheet, I shall have fulfilled all the specific and general requirements for my degree.
Signature*
Date*

MonthDayYear
Date
This completed application must be filed in the registrar's office one year prior to the students intended graduation date.
Should be Empty: