Application to Graduate

*Are you currently a high school student?YesNo

*Applying to graduate is the student’s responsibility and the following criteria MUST be met before this form will be accepted. My application is turned in the first 10 days of anticipated graduation semester.I anticipate graduating at the end of the current semester. I have completed at least 25 percent of my courses in the program of study at Johnston Community College.I have met with an advisor and attached is my signed application to graduate.My graduation list of required classes for my program is attached.Complete Graduate Survey. Graduate Surveys will be sent to the student’s JCC email account approximately three weeks prior to the end of the semester.

*Name as it should appear on degree:

*Level of CompletionDegreeDiplomaCertificate

*My anticipated graduation year from Johnston Community College is

*My anticipated graduation semester from Johnston Community College isFall SemesterSpring semesterSummer Semester

Below is your mailing address.

*Personal Email Address

As this student’s advisor, I have verified he/she is enrolled in the FINAL courses required for this program. My signature certifies the student has met graduation requirements.