Fillable NHTI Concords Community College Petition to Graduate Form (NHTI – Concord's Community College)

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NHTI Concords Community College Petition to Graduate Form (NHTI – Concord's Community College)

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NHTI – Concord’s Community College
Final Review__________________
Registrar’s Office – nhtiregistrar@ccsnh.edu
RF’d ________________________
31 College Drive, Concord, NH 03301 P: (603)230-4014 F: (603)230-9314
Jostens______________________
Petition to Graduate Form
A Petition to Graduate Form must be completed and returned to the Registrar’s Office according to the schedule below. I
understand that my graduating is contingent upon having met all academic requirements of my program and of the college.
I will not receive my degree until my student account is paid in full including all fees owed to the College.
Graduating students must earn a minimum cumulative grade point average (CGPA) of 2.0.
Student ID: Major:
Print your name below CLEARLY and EXACTLY as you wish it to appear on your award:
Full Name as you wish it to appear on your diploma
Mailing
Address:
Street City State Zip
Contact
Information:
Home Phone Cell Phone
Personal Email
Please check the semester you anticipate completion of degree requirements.
Anticipated Graduation Date:
Fall (degree awarded in December)
Spring (degree awarded in May)
Summer (degree awarded in August)
Submit Petition to Graduate Form on or before:
October 30
November 30
April 30
I
wish to participate in Commencement Exercises.......................................................................................
I am a Phi
Theta Kappa member..................................................................................................................
I
am an honorably discharged, active or reserve military personnel and I would like
to receive an Honor Cord of Distinction to wear during Commencement ....................................................
Yes
Yes
No
Yes
No
If you have taken or are taking a class(es) at another college and haven’t transferred the credits to NHTI, list the class(es)
below. You must have an official transcript sent to NHTI. Failure to do so may delay your graduation to a future semester.
1)
2) 3)
Re
turn this completed form to the Registrar’s Office by the dates indicated above.
All student responsibilities and financial obligations to the college must be satisfied prior to the issuance of degrees
.
Student Signature
Date
For Office Use Only
Student File Petition
Type (S)
Grad Date SHAD PTKCMNT SHADIPL SPACMNT Scanned Scanned
Rev 3-8-19
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NHTI Concords Community College Petition to Graduate Form (NHTI Concord's Community College)

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Completed 13 August 2021

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