DOC - Sierra Nevada College

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Petition for Graduation
Undergraduate
Degree Candidate: Congratulations on your approaching graduation! This information is used to order your
diploma, list your name in the commencement program, and notifies the Office of the Registrar of your intent to
graduate. Students are responsible for knowing their graduation requirements. Once this petition has been
submitted, a review of your academic record will be made and sent to you during your final quarter to determine
that all requirements have been met. A $50 late fee must be submitted if the graduation petition is not turned in
the day it is due.
This petition should be completed with your advisor. The completed form must be returned to the Registrar.
Name:
__________________________________________________________________________________________________
(As you wish it to appear on your diploma and in the Commencement Program, please print clearly or type.)
Student Id No.:
____________________________________________________________________________________________
Address to which diploma is to be sent:
_________________________________________________________________________
_______________________________________________________________________________________________________
Telephone Number:
______________________________________ E-mail Address: _____________________________________
Current Mailing Address:
____________________________________________________________________________________
_______________________________________________________________________________________________________
Graduation requirements to be completed at the end of:
SPRING
(May)
SUMMER
(August)
FALL
Year _____________
(December)
Degree (circle all that apply):
Bachelor of Science
Major(s):
Bachelor of Arts
Bachelor of Fine Arts
B.S. Business Administration
___________________________________________________________________________________________________
Minor Field (attach Minor Documentation Form - 18 credits):
_____________________________________________________________
Concentration (attach Concentration Form - 15 credits): ______________________________________________________________________
Disciplines (INTD only): _________________________________________________________________________________________________
Honors:
Cum Laude (3.5 – 3.69)
This form should be returned to the Registrar’s Office
Updated: 5/20/15
Magna Cum Laude (3.7 – 3.89)
Summa Cum Laude (3.9+)
Page 1 of 4
*** A DEGREE AUDIT/EVALUATION FORM MUST BE ATTACHED FOR EACH MAJOR AND MINOR ***
Please make sure all Graduate Requirements, as listed in the catalog, will be met prior to graduation, including minimum GPA, residency, Jr.
English Proficiency test, etc., before submitting this petition.
Catalog used for requirements: ____________________
Jr. English Proficiency Test Pass:
Nevada Constitution Requirement Met:
See “Catalog Requirements under which an undergraduate student graduates.”
Number of semester credits transferred to SNC:
□
□
Yes
Yes
□
□
No
No
_____________________________
(Official copy of all transcripts must be on file in the Registrar’s Office.)
Total credits that will be completed at SNC (minimum 45 credits):
_____________________________
Credits still to be completed at SNC (not including courses in progress):
Sem/Yr ____ Course: _____________________ Credits: ___
Sem/Yr ____ Course: _____________________ Credits: ___
Sem/Yr ____ Course: _____________________ Credits: ___
Sem/Yr ____ Course: _____________________ Credits: ___
Sem/Yr ____ Course: _____________________ Credits: ___
Sem/Yr ____ Course: _____________________ Credits: ___
Sem/Yr ____ Course: _____________________ Credits: ___
Sem/Yr ____ Course: _____________________ Credits: ___
Sem/Yr ____ Course: _____________________ Credits: ___
Sem/Yr ____ Course: _____________________ Credits: ___
Total semester credits that will be completed (minimum 120-136 credits):
_____________________________
Total number of upper division credits that will be completed (minimum 42 credits):
_____________________________
Any outstanding “Incomplete” or “In Progress” grades:
If yes, what class:
□
Yes
□
No
__________________________________________________________________________________________
__________________________________________________________________________________________
Advisor Signature:_____________________________________
Date:_________________
Department Chair Signature:_____________________________
Date:_________________
By signing below, candidate acknowledges that his/her account must be clear of all outstanding financial
obligations to the College, all library debts paid, and overdue materials returned before candidate can
participate in commencement and before diplomas and transcripts can be released.
Candidate Signature:___________________________________
This form should be returned to the Registrar’s Office
Updated: 5/20/15
Date:_________________
Page 2 of 4
Financial Aid Students:
An Exit Interview Must be Completed Prior to Transcripts and Diplomas Being Released
By signing below, I understand that I received financial aid during my time at Sierra Nevada College and
understand that I must complete an exit interview with the Financial Aid office during my last semester in
attendance at Sierra Nevada College.
Student Signature: ______________________________________________ Date: _________________
_____________________________________________________________________________________
Please write two short sentences you would like your Department Chair to say about you at
Commencement: _____________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
____________________________________________________________________________________
This form should be returned to the Registrar’s Office
Updated: 5/20/15
Page 3 of 4
Alumni Information Sheet
Name: ______________________________________________________________________________
Address: _____________________________________________________________________________
(Most permanent address where SNC alumni information can be sent)
City, State ZIP: ________________________________________________________________________
Permanent e-mail address at time of graduation: ___________________________________________
Spouse: ______________________________________________________________________________
Were you in SGA?
Yes
No
Were you a scholarship recipient?
Yes
No
Were you involved in any clubs? If so, which one(s): _________________________________________
____________________________________________________________________________________
Were you on any athletic teams? If so, which one(s): ________________________________________
____________________________________________________________________________________
Are you going to grad school?
Yes
No
Where? _____________________________
Have you accepted a job:
Yes
No
Where? _____________________________
This form should be returned to the Registrar’s Office
Updated: 5/20/15
Page 4 of 4
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