Graduation Application

Semester You Plan to Graduate:

Student's ID #:

First Name:

Middle Name:

Last Name:

Type your name as you would like it to appear on your diploma/certificate:

Primary Phone Number:

Mailing Address:

City:

State:

Zip Code:

Jefferson College Email Address:

Is your after graduation mailing address different than above?

Mailing Address:

Mailing address after graduation if different than above.

Type of Degree you are seeking:

Major Area of Study (for AAS or Certificate)

Do you have college credit from other institutions that you will be using to complete your degree or certificate at Jefferson College?

If yes, please list other institutions.

You must submit an official transcript from the institution(s) to Jefferson College for evaluation to receive credit.

Have you previously received a degree or certificate from Jefferson College?

*You must submit an official transcript from the institutions to Jefferson College for evaluation to receive credit.

Do you want to participate in spring Commencement ceremonies?

All graduates are encouraged to participate in the Commencement ceremonies.

Type your full name:

degree you Are

Non-College Email Address:

Are you currently working?

Are you continuing your education?

Do you need assistance with a job search?