Lassen Community College Petition to Graduate

Please choose one: *

Associate Degree

Certificate

Date petition was submitted (today's date): *

Month / Year of Graduation: *

** If you plan to complete a degree or certificate in another term after this one, please complete a new petition**

Name as you want it to appear on your diploma(s)

First Name: *

Middle Name

Last Name *

LCC Studet ID # [OR] Social Security # *

Current Cell Phone Number *

Home Phone Number

Current Email Address *

Do you have transcripts from other colleges needed for evaluation for diploma? *

Yes

No

If yes - Name of college(s) *PLEASE BE SURE YOU HAVE SENT OFFICIAL TRANSCRIPT TO ADMISSIONS

Name on previous academic records (if different from current name)

Are you transferring to 4 year University?
*

Yes

No

If yes - what is the name of the Univeristy?

Your current mailing address:

To send information about May Graduation

Name *

Street Address *

Apt or Sp #

City *

State *

Zip Code *

Address you want your diploma mailed to:

Diplomas will be mailed 2-3 months after the end of the term

Name *

Street Address *

Apt or Sp #

City *

State *

Zip Code *

Please confirm with your counselor which Degrees and Certificates you are eligible for, you may be eligible for more than one!

Select your major (degree and/or certifictes) below. Click the box by the degree(s) and/or certificate(s) that you are petitioning for.

A.A. or A.S. degrees designed for TRANSFER to a four-year college

If you are working on one of these transfer degrees, please identify which general education certificate you are working on:

Cert of Achievement California State University General Education

Cert of Achievement Intersegmental Gen. Ed. Transfer Curriculum

** If you are using high school foreign language to meet the language requirement on IGETC, please ensure you have requested a high school transcript be sent to our Admissions Office

A.A. or A.S. Terminal Degrees (NOT designed for transfer)

Certificates of Achievement (NOT an A.A. /A.S. Degree)

Certificates of Accomplishment (NOT an A.A. /A.S. Degree)

Cert of Accomplishment in Automotive Basic Mechanics

Cert of Accomplishment in Automotive Electrical

Cert of Accomplishment in CAL FIRE Academy

Cert of Accomplishment in Medical Assisting – Administrative

Cert of Accomplishment in Medical Assisting – Clinical

Cert of Accomplishment in Welding Technology

Certificates of Completion (NOT an A.A. /A.S. Degree)

Cert of Completion in Automotive Chassis and Maintenance

Cert of Completion in IT Support Professional

Other: (Any degree or certificate you were working on that isn't listed)

Questions? - Email evaluator@lassencollege.edu