Application for Graduation

Application for Graduation
Demographic Information
Name*

First NameLast Name
FCSL Email or Student ID or last 4 of SSN
example@example.com
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Personal Email*
example@example.com
Contact Phone Number*
Please enter a valid phone number.
Graduation Information
Anticipated Graduation Date*

Fall 2022Spring 2023
Which school did you attend as part of the Teach Out?*
Did you provide FCSL with your final transcript?*

YesNoWill provide by the end of the term.
Name as you'd like printed on your diploma.*
If you are eligible to receive a certificate, please indicate which one:

Civil Practice AdvocacyCriminal Practice AdvocacyFamily Law AdvocacySocial Justice Advocacy
Bar Information
Do you plan to take a state bar?*

YesNo
Which state bar?*
What is your Bar Applicant File Number?
When will you take the bar exam?*

February 2023July 2023Future Date
I request and authorize Florida Coastal School of Law to release any of my school records to any Bar for which I may be sitting. This includes any academic, medical, and legal information that may be in my records. I agree to assume all legal responsibility and do hereby relieve the person who provided such information from any liability, regardless of any action which might arise resulting form the release of that information.*

I agree
Should be Empty:

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Demographic Information