APPLICATION FOR GRADUATION
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Print and fill out this form. Sign and fax, or mail it to MJC or CC: |
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Modesto Junior College, Evaluations Office 435 College Avenue Modesto, CA 95350 209-575-6695 - FAX |
Columbia College, Admissions & Records 11600 Columbia College Drive Sonora, CA 95370 209-588-5337 - FAX |
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| You should apply for graduation after the beginning of the semester in which you expect to complete your graduation requirements (this applies to Modesto Junior College only-contact Columbia College directly for submission deadlines). To guarantee that your name is printed in the commencement program, your application must be received by March 7th. |
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I WISH MY NAME TO APPEAR ON MY DIPLOMA AS
FOLLOWS:
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Please indicate your choice of
degree: ASSOCIATE IN ARTS 
ASSOCIATE IN SCIENCE |
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| Catalog Year I am following:_____________ MAJOR at MJC/Columbia: _______________________________ | |||||||||
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As it appears in the Catalog |
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My mailing address is:
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My permanent address is:
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| E-mail Address: ___________________________________________ | |||||||||
| My phone number is: _______________________ | |||||||||
| Technical certificates are offered in many majors. Check yes if you would like your transcript evaluated for a certificate. | |||||||||
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| Do you plan to transfer to a
four-year university?
Yes
No |
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| If yes, which university? | |||||||||
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| I authorize Yosemite Community
College District to print my name in the commencement program and to
release my name to local newspapers.
Yes
No |
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| Please check each service you
used while you were enrolled at Columbia or MJC. |
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