San José City College Graduation Petition – AA-T/AS-T (CSU GE)


Petition to Graduate for Semester: Spring ☐ Fall Summer ☐ Year: 20______Date______

STUDENT ID#: ______DOB: ______Primary Phone: ( )______

Print your name as it should appear on your Diploma. *Must be legal name and match your student record.

FULL NAME: ______(Max of 25 Letters will fit on Diploma) FIRST MIDDLE LAST

Address ______

Street City Zip

I certify and understand that it is my responsibility to submit the most recent official transcripts from all previous colleges/universities that I have attended:

______
Student Signature (Required)

FOR OFFICE USE ONLY BELOW THIS LINE

COUNSELORS–REQUIRED INFORMATION: Catalog GE Date: ______Major: Catalog Date: ______

General Education Pattern Major Requirements
A.  AREA A: English Language Communication
B.  and Critical Thinking (9 units min)
C.  (“C” or better in A1, A2 and A3) / *Units / Sem/YR. / Current/
Planned / Loc:
ALL SJCC☐ / MAJOR COURSES / Units / Sem/YR. / Current/
Planned / Loc:
ALL SJCC
☐
A1. Oral Communication
A2. Written Communication
A3. Critical Thinking
AREA B: Scientific Inquiry and Quantitative Reasoning (9 units min)
B1. Physical Science
B2. Life Science
B3. Lab Activity
B4. Math/Quant. Reas. (“C” or better)
AREA C: Arts and Humanities (9 units min)
C1. Arts
C2. Humanities
C1/C2. Arts OR Humanities
AREA D: Social and Behavioral Sciences (9 units min)
HIST 017A / OR / HIST 001 / OR / ETH 037A
HIST 017B / POLSC 001 / ETH 037B
D. / A & R EVALUATOR USE ONLY
AREA E: Lifelong Understanding and Self-Development (3 units min) + E2 = 1 unit / Units Completed and GPA Calculation
E1. Non-Physical /
E2. Physical Activity (1 unit min)
GE MINIMUM 39 Units in A - E /
CSU RECOMMENDED / Completed / Planned / LOC
American Institutions (see AREA D)
HIST 017A / OR / HIST 001 / OR / ETH 037A
HIST 017 B / POLSC 001 / ETH 037B
*Counselors need to convert qtr. units to semester when applicable
Counselor: Counselor name / Date : / GPA: / Honors: /
Evaluator: / Date: /
GRADUATION DATE:

Date Student Notified: Final Action: Approved______Denied ______

It is the student’s responsibility to turn this form in to Admissions and Records Office. Rev. MD 3/7/2017