www.QVCC.edu

QVCC Graduation Application

Fall 2017 (Deadline: November 1st) Spring 2018 (Deadline: April 1st)

Banner ID:

Mailing Address:

City/State/Zip:

First LastMiddle

Home Phone:

Cell Phone:

Do you plan to attend graduation on May 24, 2018? YES NO

Check below for the DEGREE/CERTIFICATE for which you are applying to graduate:

Liberal Arts & Sciences (L12LA43)

Associate in Science (A.S.)Accounting (L11LA03) Bus. Admin: Heath Care Mgmt (L11LB58) Computer Srv: IT Support (L11LA58) General Studies (L11LA39) Technology Studies (L11LF11) Tech Stds: Eng Tech (L11LF12) Tech Stds: Plastics (L11LA56)

CSCU Pathway Transfer Degrees (TAP)Biology Studies (L12LG01)Criminology Studies (L12LG04)Mathematics Studies (L12LG07)Social Work Studies (L12LG10)

CertificatesAdmin Med Office Skills (L13LJ07)Adv Mfg Machine Tech (L13LK60)Computer Aided Design (L13LJ08)HIMT Coding Spec (L13LJ21)Phlebotomy (L13LJ35)Supply Chain Mgmt (L13LN14)

Pathway to Teaching Careers (L12LC35)

Business Administration (L11LA06) Bus Admin: Management (L11LA68) Early Childhood Educ. (L11LA05) Human Services (L11LA40)Tech Stds: Biomolecular Sci (L11LF21) Tech Stds: Environmental (L11LF24) Medical Lab Technician (L11LA09)

Chemistry Studies (L12LG02)English Studies (L12LG05)Political Science Studies (L12LG08) Sociology Studies (L12LG11)

Advanced Accounting (L13LJ39) Applied Accounting (L13LJ38) Engineering Sci/STEM (L13LJ09)Lean Manufacturing (L13LN13) Plastics Technology (L13LJ29)Tech Studies/STEM (L13LJ10)

Visual Arts (L12LA08)

Bus Admin: Bus Info Sys (L11LA07) Computer Networking (L11LA04) Engineering Science (L11LA35) Medical Assisting (L11LA45)Tech Stds: CAD (L11LF15)Tech Stds: Lean MFG & Supply (L11LF20) Other

Communication Studies (L12LG03) History Studies (L12LG06)Psychology Studies (L12LG09)

Advanced Management (L13LJ41) Applied Management (L13LJ40) Health Career Pathways (L13LK55) Patient Care Tech (L13LJ01)Sr. Network Specialist (L13LJ04)Web Design (L13LJ06)

Other:

I understand that to be eligible for graduation, I must complete all of the course requirements of the degree/certificate and a Grade Point Average of 2.00 or higher, excluding courses numbered lower than 100. I acknowledge that by signing this application I give QVCC permission to print my name and academic major in the commencement brochure and to have my academic major announced at the graduation ceremony if I choose to attend.

Associate in Arts (A.A)

Signature Date

Phone: (860) 932-4010 Email: QVRecords@qvcc.edu

Email:

Student Name: (Print your name as you would like it to appear on your Diploma.)