Graduation Application Shoreline Community College
Graduation Application Shoreline Community College
Fill in your name as you would like it to appear on your diploma (print legibly):
Applicant Information
Applicant Name:
Last Name
First
Middle
Student ID #
Address:
Street Address
Apt. #
City
State
Zip
Phone
If Paying by Card:
Signature
Apt. #
City
State
Zip
Phone
I am applying to graduate at the end of: (Circle one below and enter the year)
FALL
WINTER
SPRING
SUMMER
Year: ________
Name of program
Name of program
Date:
Degree Entered:
Quarter:
Diploma Ordered:
SCC GPA:
TR Cr:
Honors:
Diploma sent:
**Complete, print and return form along with $20 application fee (due at submission) to the Cashiers office located on the main
floor of the FOSS (5200) building or mail to: Shoreline Community College 16101 Greenwood Ave. N. Shoreline, WA 98133
c/o Cashiers Office. Or return by fax to 206-546-6952.
ES-Degree App-073013