APPLICATION FOR CERTIFICATE OF COMPLETION
(Submit a separate application for each certificate)
NAME
SID#
PRINT as you wish it to appear on your certificate
EMAIL ADDRESS:
ADDRESS you want certificate mailed to:
City
State
Zip
YEAR & QUARTER in which you expect to complete the graduation requirements:
Year
Fall (Dec.)
Winter (March)
Spring (June)
Summer (Aug.)
This certificate is from the GHC catalog year
Type of certificate for which you are applying
Accounting/Bookkeeping
Forestry Technician
Advanced Diesel Technology
Human Services
Automotive Technology
Medical Office Administrative Support
Business Management
Power Technology
Business Technology
Practical Nursing
Carpentry Technology
Related Welding Technology
Chemical Dependency (2014)
Small Business/Entrepreneurship
Commercial Food Preparation (2014)
Welding Technology
Commercial Transportation & Maintenance
Criminal Justice
Preliminary OK
Diesel Technology Fundamentals
Early Childhood Ed – State Certificate
FOR OFFICE USE ONLY
US Veteran
Yes
No
Member of Phi Theta Kappa
Yes
No
Student Signature
Rev 10/15
Date
Date
Approved: YES
Date:
GPA:
Comments:
NO
By: