Lakes Region Community College

Office of the Registrar

Intent to Graduate 2014-2015

All students planning to graduate are required to complete theIntent to Graduate formand pay a $125.00 graduation feeregardless of ceremony attendance.A $20.00 charge will be assessed for each additional degree earned. A 2.0 or higher cumulative grade pointaverage is required to graduate. Your Intent to Graduateform MUST BE SIGNED BY YOUR ADVISOR and returned to the Registrar’sOffice according to the following schedule:

Please check the semester you anticipate completion of degree requirements:

Anticipated Graduation Date:Submit Intent to Graduate on or before:Graduation fee due by:

____Fall 2014– degree awarded December 19, 2014November 1, 2014November 1, 2014

____Spring 2015 – degree awarded May 16, 2015January 30, 2015February 27, 2015

____Summer 2015– degree awarded August 18, 2015March 31, 2015April 30, 2015

All students are encouraged to attend the May 2015 commencement ceremony. However, designation of honorsand high honorsfor summer graduates will be confirmed in August once all requirements have been completed.

PLEASE PRINT YOUR NAME CLEARLY AS YOU WOULD LIKE IT TO APPEAR ON YOUR DIPLOMA:

Name: ______Student ID:

First Middle Initial (or Name) Last

Mailing Address: ______

Major:______Telephone:

Are you taking a course(s) at another institution to complete your degree requirements? ____Yes ____No

If you are taking a course(s) you must provide proof you are registered for the course(s). Taking a course(s) at another institution could delay the issuance of your diploma. You must get a C or better in the course(s) to have the credits transferred. At the end of the semester, please request an official transcript be sent to LRCC.

REQUIRED FOR AUGUST COMPLETION: Students with six credits or less left to complete graduation requirementsmay participate in commencement provided they show proof of registration for Summer 2015. If you take a course(s) at another institution, please havean official transcript forwarded to the Registrar’s Office by August 28, 2015. Please list the classes below that you will be completing in the Summer of 2015.

Name of CollegeCourse Title#CreditsCourse Completion Date

Name of CollegeCourse Title#CreditsCourse Completion Date

****Please remember in February you will need to see the Bookstore to order your cap and gown.****

All student responsibilities and financial obligations to the college must be satisfied prior to the issuance of diplomas. If you are unable to complete the degree requirements, you must contact the Registrar’s Office no later than one week prior tothe anticipated graduation date to receive a graduation fee refund.

______

Student SignatureDateAdvisor’s SignatureDate

CatYr: Roll#: SHADEGR: LDFG: SHADIPL:

Revised 08/06//2014