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2014-15 GRADUATION APPLICATION
(attach Academic Advisement Report)
A separate application is required for each degree,
certificate or career studies award.
STUDENT Must Complete the Following:
Please PRINT your name legibly as it should appear on your diploma and as it will be announced at the
commencement ceremony.
_________________________
__________________
First Name
Middle
___________________________________
Last Name
______________________________________
Suffix
___________________________________
EMPL ID /Student ID (required)
Telephone Number
___________________________________
___________________
__________ __________
Street Address
City
State
Zip Code
 Active Military Duty or Veteran (this does not apply to military related dependents, spouses, etc.)
 This is a second degree from Virginia Western Community College. I have reviewed the multiple degrees policy at
http://www.virginiawestern.edu/services/graduation/multipledegrees.php.
STUDENT SIGNATURE: ______________________________________
FACULTY ADVISOR - Complete the Following:
See:http://www.virginiawestern.edu/facstaff/docs/GraduationAp
plicationInstructionsforFacultyAdvisors.pdf
Degree:  AA
 AS
 AAS
Date: _______________________
Is this a second degree  Yes  No
Is this degree 25% different from the first degree  Yes  No
 Certificate
 Career Studies
___________________________________________
Plan (Curriculum)
_________________________________________________
Catalog Year (Cannot be older than 2010-2011)
Registered Classes – SPRING 2015
Final Grade
Records
Office
To
Enter
_____________________
Plan Code (#)
_____________________
Specialization (#)
Registered Classes – SPRING 2015
Final Grade
Records
Office
To
Enter
I CERTIFY that by successfully completing the above courses, this student will qualify for graduation. I also
certify that the student meets the prerequisites to enroll in these courses.
________________________________________________
Faculty Advisor Signature
_____________________________________________
Date
________________________________________________
School Dean Signature
_____________________________________________
Date
Records Use Only
Records to Complete the Following
Student Paid Graduation Fee?
Yes 
No 
 Yes  No
 Yes  No
Course subs have required signatures
Curricular GPA is 2.0 or better
Application has been
entered in:
Initials: ____________
Access.……………………….
Dipl. on Demand….…………
PeopleSoft Prog/Plan…...….
Student Group……..………..
Cap/Gown  Yes  No
Attending? Yes  No 
Cum. GPA ___________




Plan GPA ___________
Records Use Only
Degree Status Entered in PS: Yes 
 NA
OK if SP15 coursework is complete
Student is currently ready to graduate
Initials:
 Yes
 No
 Yes
 No
Student Cannot Graduate:
DELETED FROM:
________________________________
Access….…………..
Dipl. on Demand…..
PeopleSoft………….
Student Group……...
________________________________
________________________________
Cum

Magna 
Summa 
Honors Society ________
Honors Institute Grad 




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VIRGINIA WESTERN COMMUNITY COLLEGE
2014-15 Graduation Application
ATTENDANCE FORM
This form must be completed and returned
with the graduation application.
Attendance at the May 15, 2015, graduation ceremony is REQUIRED for all
fall 2014, spring 2015, and summer 2015 Virginia Western Community College
graduates.
If, for some reason, you are unable to attend the ceremony, please check the “No” box
below and indicate the reason for non-attendance.
Please check one of the following:
YES,
I will be attending the graduation
ceremony on May 15, 2015, at the
Salem Civic Center.

NO,
I am unable to attend the graduation
ceremony on May 15, 2015.

The reason for my non-attendance is
noted below.
If attending Graduation Ceremony, please order graduation regalia on-line at:
https://oakhalli.com/colleges/vwcc and attach a copy of the graduation regalia
receipt to this application or send to the Records Office in Chapman Hall.
I am unable to attend the May 15, 2015, graduation ceremony for the following reason:
____________________________________________________________________________
I am aware that I will not receive the VWCC official diploma cover unless I attend
the graduation ceremony.
______________________________________
Student Signature
_______________________
Date