Application for Graduation

Name:
	(Please Print Full Name as it should appear on your Diploma)
ID#:
Address:
City:
State:
Zip Code:
Phone Number:

I will finish my degree in: Fall (December)
Spring (May)
Summer (August)

I wish to apply for the following degree: Associates in Arts
Associates in Science
Associates in Applied Science
Associates in General Studies

It is VERY important that you list your major:

Do you plan on attending the ceremony? Yes
No

GRADUATION CEREMONY The graduation ceremony is held only in May at the Iola Campus.

Please complete only if you will be attending the ceremony:

Height:
Weight:

Where do you plan to pick up your cap and gown?:

	Iola Campus
	Send via US Mail

Electronic Signature: (Please type in your full name) *

Graduation changes should be immediately directed to the Registrar by phone 620.365.5116 ext 6291 or by email haviland@allencc.edu.

With your completion of this graduation application, an official evaluation of your transcript will occur. You will be notified if graduation requirements are not met or if you need additional classes. If transferring hours to Allen Community College, please submit official transcript(s) as soon as possible. Thank you.