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
Brazosport College Email*
**All official Brazosport College information regarding your degree application will be sent to your secure Brazosport College email address.**
Alternate/Personal 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?*

YesNo
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 for which you qualify for.
Have you applied for your Certificate?*

YesNo
If you meet the qualifications for a Certificate at Brazosport College and have not applied or received your degree please complete a separate Certificate Application for each Certificate for which you qualify for.
Semester in which your degree will be conferred?*
Semester in which you will have completed your degree
Are you planning to participate in commencement?*
If yes, please select commencement date.*
Regalia Information

The traditional cap, gown, and tassel are provided for each graduate
Gown - Your Height Feet*
Gown - Your Height Inches*
Are you a Veteran of the military*

NoYes, Air ForceYes, ArmyYes, Coast GaurdYes, Marine CorpsYes, Navy
Are you currently active duty*

NoYes, Air ForceYes, ArmyYes, Coast GaurdYes, Marine CorpsYes, Navy
Are you a member of Phi Theta Kappa (PTK) Honor Society?

YesNo
Ceremony Accommodation

Graduate
Please be aware that commencement ceremonies often require graduates to stand for long periods and/or use stairs to access the stage where you will be officially recognized. We want all graduates to be able to participate in their graduation ceremonies and accommodations are available to make that possible.
Will the graduating student need accommodations at the ceremony?*

NoYes
Please indicate your accommodation

Mobility AssistanceWheelchair/Mobility device seatingSign Language InterpreterUse of Service Dog
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
Should be Empty:

Degree Application

Regalia Information

Ceremony Accommodation