Application for Graduation or Certificate Completion

Type of Award*

DegreeDiplomaCertificate

Program of Study*

If you have a diploma or degree with a specialization, please include the specialization

Have you also completed one or more embedded certificates as part of your program*

YesNo

*Students only completing a certificate do not participate in the graduation ceremony*

Deadlines for Graduation Application

Summer Graduation: Application due by March 1

Fall Graduation: Application due by July 1

Spring Graduation: Application due by October 1

Please list the certificate or certificates*

Your name will appear on award(s) as it is in Banner.

Name*

First Name Middle Name Last Name

Address*

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country

Student ID*

Phone Number *

Area Code Phone Number

Phone Number

Area Code Phone Number

Signature*

Semester you will be completing the final courses for your program*

SummerFallSpring

Will you be participating in the graduation ceremony?*

YesNo

Do you need special accommodations or assistance to participate in the ceremony? Do you have a guest who may need special accommodations? Individuals with disabilities requiring assistance or accommodations to participate in the graduation ceremony should contact Zelma Jones at 770.824.5241 or Zelma.jones@westgatech.edu.

Height*

Weight*

Employment Status*

Employer Name:

Employer Address:

Employer Phone and Contact Person:

Continuing Education Information:

There is a $40 Graduation Application Fee required for all graduates. The fee covers the processing, mailing and printing of your diploma. Please visit Banner Web after 48 hours of your application submission to pay online, or to pay in-person, please visit the cashier at one of the WGTC campuses .

Embedded certificates will not be charged the $40 fee.

As set forth in its student catalog, West Georgia Technical College does not discriminate on the basis of race, color, creed, national or ethnic origin, sex, religion, disability, age, political affiliation or belief, genetic information, disabled veteran, veteran of the Vietnam Era, spouse of military member, or citizenship status (except in those special circumstances permitted or mandated by law). The following persons have been designated to handle inquiries regarding the non-discrimination policies: Equity (Title IX) Coordinator, Dean of Students, 770.537.5722, 176 Murphy Campus Blvd., Waco, GA 30182. ADA (Section 504) coordinator is Executive V.P. of Administrative Services, 678.664.0533, 401 Adamson Square, Carrollton, GA 30117.

	Strongly Agree	Agree	Neutral	Disagree	Strongly Disagree
The quality of instruction at WGTC was excellent.
My instructors were available outside the classroom.
The instructional supplies, equipment, and technology available in my program were up to date and met the business and/or industry standards.
There was enough flexibility in scheduling classes to be able to complete my program in a reasonable amount of time.
My academic advisor was helpful in planning my program of study.
The work ethics training I received will enhance my value as an employee in my profession.
I acquired sufficient skills and knowledge to prepare me for employment in my field.
I would recommend West Georgia Technical College to my friends and family.
Overall, West Georgia Technical College provides quality educational programs and services.

	Very Satisfied	Satisfied	Dissatisfied	Very Dissatisfied	N/A
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Application for Graduation or Certificate Completion

Graduate Satisfaction Survey