Degree Application

Degree Application

Please Print Your Address and it must be kept current in the Registrar's Office to ensure receipt of Degree
Brazosport College Student ID *
Name *

First Name Middle/Maiden Name Last Name

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Email *
example@example.com
Cell Number
Other Number
List all colleges you have attended
Please select the degree you are applying for and any additional information requested.

DEGREE:
Degree Type *
Select degree option for Associate of Teaching
Select degree option for Associate of Applied Science
Select degree Option for Bachelor
Have you applied for or received your Associate Degree? *

Yes No
If you have completed your Associate Degree at Brazosport College and have not applied or received your degree please complete a new Degree Application selecting the Associate Degree Option in which you qualify for.
Have you applied for your Certificate? *

Yes No
If you meet the qualifications for a Certificate at Brazosport College and have not applied or received your degree please complete a seperate Certificate Application for each Certificate in which you qualify for.
Semester in which your degree will be conferred? *
Semester in which you will have completed your degree
Year in which your degree will be conferred? *
Year in which you will have completed your degree
Year of Catalog under which you meet requirements for graduation:

Your catalog year refers to the academic year you were first admitted into the Brazosport College or the year in which you started working towards your degree/certificate. Your catalog year is important because you follow the curriculum requirements that were in effect that academic year.
Fall: *
You must indicate the year of the catalog you are following within the last 5 years- example Fall 2013
Spring: *
You must indicate the year of the catalog you are following within the last 5 years- example Spring 2014
Please print your name as you want it to appear on your Diploma. (Must be your LEGAL NAME)
Phi Theta Kappa (PTK) members who want the gold tassel must order and receive through the PTK Office. PTK students participating in commencement will be gifted a gold PTK stole.

All waivers, substitutions and approved elective requests must be completed through the Division Chairs.
Name *

First Name Middle Name Last Name Suffix
Signature *

Clear
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