Application for Diploma

Application for Diploma
If your GPA is below 2.0 this application is not processed.
Full Name as you would like it printed on your Diploma.*

First NameMiddle NameLast Name
If you name is difficult to pronounce, provide phonetic pronunciation below.

First NameMiddle NameLast Name
Phone Number*

Area CodePhone Number
Email*
Use your midmich.edu email ONLY.
Mid Michigan College Student ID#*
Your Mid ID# begins with a zero and appears on your student ID.
Do any of the following designations apply to you? Select all that apply.

Military VeteranPhi Theta KappaTRIO SSSFutures for FrontlinersMichigan ReconnectMid Student-Athlete
Address your diploma should be mailed to*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Check this box if the diploma destination address is different than current mailing address listed in your Mid account.
Would you like the current mailing address in your Mid account updated to the address entered above?

YesNo
Program of Study*
Specify ONE program. Use separate forms for additional programs. Each additional associate degree requires 15 additional cumulative credits. A list of requirements for the program listed above is sent to your midmich.edu email address. You are expected to check your midmich.edu email for this information.
Expected Completion Month*

MayJune-AugustDecember
Expected Completion Year*

2024Other
If any requirements for the program you listed were waived or if you substituted courses, indicate those changes here.
Do you plan to attend Commencement in May 2026? December 2025 through August 2026 graduates may attend Commencement.*

YesNo
Do you need special accommodations at the commencement ceremony?*

YesNo
Describe the special accommodations you are requesting.*
Important Financial Aid Note

Graduating students who have received Federal Student Loans are expected to complete Exit Loan Counseling.

Students are responsible for Program Requirements

All attempts are made to email an official review as soon as possible, but may not arrive in time for you to schedule your final semester. Any concerns regarding program requirements should be discussed with a Mid Mentor or the Registrar.
Signature*

Clear
Date*

MonthDayYear
GPA
Academic Recognition

HonorsHigh Honors
Reporting

SACPSGRD
Date of Degree

MonthDayYear
Date Posted

MonthDayYear
Date Mailed

MonthDayYear
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Signature
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