Office Use Only
Graduation Office, Room B115
701 Briarcliff Avenue • Oak Ridge, TN 37830
Intent to Graduate
Major __________________
Advisor _________________
Date ____________________
REQUIREMENTS:
Students must complete a minimum of 30 semester hours or 50% of a certificate program before a
graduation file will be activated. Intent to Graduate forms should be turned in one semester prior to
the anticipated term of graduation.
INSTRUCTIONS:
1. Meet with your faculty advisor to complete the form. This form must be completed in
its entirety before it will be processed by the graduation analyst. (Incomplete forms will be
returned to the student.)
2. Attach a degree evaluation from Raidernet or a copy of your degree checklist.
EVALUATIONS:
All graduating sophomores are REQUIRED to take the Academic Profile test to measure general educational achievement. The
purpose is to evaluate the effectiveness of RSCC’s academic programs. *Some departments may require additional evaluative tests. There is no charge for the test and no minimum level of achievement is required for graduation. Diplomas will not be issued until
testing is complete. Technical certificates are exempt from this testing requirement.
The graduation analyst will mail each prospective graduate an evaluation of their progress towards
graduation. Each student is encouraged to meet with their faculty advisor to develop a plan for
the completion of the program based on the results of this evaluation.
MEASURE OF ACADEMIC PROFICIENCY AND PROGRESS EXAM
I HAVE READ THE ABOVE STATEMENT ABOUT GRADUATION TESTING. MY SIGNATURE BELOW
INDICATES THAT I FULLY UNDERSTAND THAT I MUST BE PRESENT ON ONE OF THE TEST DATES
AND TAKE THE ACADEMIC PROFILE EXAM.
_____________________________________________________________________________
Student’s Signature
Date
I SUBMITTED MY INTENT EARLIER AND TOOK THE ACADEMIC PROFILE EXAM AT THAT TIME.
______________________________________________
________________________________
Student’s Signature
Date
APPROVAL: This form will not be processed without the advisor’s signature.
ADVISOR: Please attach a degree evaluation and any documentation (course subs, waivers, degree evaluations, etc.)
that will be helpful to the Graduation Analyst.
I have reviewed the academic record for this student and recommend him/her for graduation review.
Advisor’s Signature ____________________________________
Date __________________
From which RSCC program do you plan to graduate? (Check only one)
____ Certificate - Option _______________________________________________________________
_____Associate of Applied Science
_____ Business Mgmt Tech* - Option ______________________________________________
_____ Contemporary Management*
_____ Criminal Justice
_____ Early Childhood Education
_____ Environmental Health Technology
_____ General Technology _______________________________________________________
_____ Geographic Information Systems
_____ Health Sciences - Option _____________________________________________________
_____ Nursing
_____ Paralegal Studies
_____ Other ___________________________________________________________________
_____ Associate of Arts - Option __________________________________________________________
_____ Associate of Science - Option ________________________________________________________
_____ Associate of Science in Teaching
_____ Tennessee Transfer Pathway - Option __________________________________________________
When do you plan to complete program requirements?
Semester ________________________
Year ____________________
Has your advisor completed any course substitutions for you?
____ Yes
____ No
Complete ONLY if you plan to FINISH an articulation agreement or Tennessee Tranfer Path.
Indicate university you will attend _________________________________________________________
Articulation Program (option) ______________________________ Year ______________
PERSONAL INFORMATION
1. Student ID: R __ __ __ __ __ __ __ __
or
Social Security Number: X X X - X X - __ __ __ __
2. Print your full name AS YOU WISH IT TO APPEAR ON THE DIPLOMA:
First
Middle
Last
3. Provide PERMANENT mailing address for receipt of graduation information and diploma:
______________________________________________________________________________________
Street Name & #/Box #/Apt. #
City
State
Zip
Email ________________________________________________________________________________
4. Daytime Phone ___________________________________
Evening Phone _______________________
5. Credits are evaluated either under the catalog that was in effect the year you declared your major or the
current catalog. If no preference is indicated, the CURRENT catalog will be used. By which catalog
do you wish to be evaluated? ______________________________________________________________
Signature ______________________________________________________________________________
RSCC is a TBR Institution and an AA/EEO Institution. RSCC Publicaion # 13-018.