Degree App

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Date Submitted: 03/26/2015 03:38 PM

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APPLICATION FOR A DEGREE

MIDWAY COLLEGE

Office of the Registrar

512 E. Stephens Street

Midway, Kentucky 40347

(859) 846-5340

1. _________________________________________________ (Full legal name to appear on diploma)

First Middle Last

2. _______________________________________ (Legal address to appear on Commencement Program)

City State

3. Date of Official Graduation (Choose one, only)

[ ] December _________ [ ] May _________ [ ] Summer _________

Year Year Year

4. Degree to be granted (Select one, only)

[ ] Associate of Arts degree [ ] Master of Arts in Education

[ ] Associate of Science degree [ ] Master of Arts in Teaching

[ ] Bachelor of Arts degree [ ] Master of Business Administration

[ ] Bachelor of Science degree [ ] Pharm. D.

5. Major ______________________________________________________________________________

Print full major, as listed in college catalog

______________________________________________________________________________

Concentration

______________________________________________________________________________

Minor(s)

6. CERTIFICATION OF ADVISOR

Graduation requirements are met or scheduled to allow this student to graduate by the date shown above.

_____________________________________

Advisor’s Signature Date

7. NOTIFICATION

Candidates for a degree should refer to the college catalog for a full disclosure of requirements for their degree and major.

8. This completed form is filed in student’s cumulative folder in the Registrar’s Office. Form due by the date appearing in the College Catalog.

FOR OFFICE USE ONLY

The Graduation fee covers the cost of your diploma only and is to be paid to the Business Office at the time you complete this form.

Further, all financial obligations to the College must be cleared in the Business Office before any diploma or transcript can be granted.

Graduates are to...