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Lakeshore College Application for Graduation

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Application for Graduation

Your name will appear on your diploma as the first name and last name that Lakeshore has on record for you in the system.

The home (personal) email address that Lakeshore has on record for you will be the email account used to send you information regarding your diploma from Parchment.

If any corrections are needed, you are responsible to make the changes on your Student Center account.

Student ID Number

First Name

Last Name

Address:

City:

State

Zip:

What semester do you plan to graduate?

What type of credential do you plan to graduate from?

Associate Degree Program:
(Note: You may be awarded any additional credentials that are embedded in your program.)

Certificate Program:

Are you planning to graduate from another program or embedded credential in the same semester?

Type of Degree

Associate Degree Program:
(Note: You may be awarded any additional credentials that are embedded in your program.)

Certificate Program:

Type of Degree

Associate Degree Program:
(Note: You may be awarded any additional credentials that are embedded in your program.)

Certificate Program:

Type of Degree

Associate Degree Program:
(Note: You may be awarded any additional credentials that are embedded in your program.)

Certificate Program:

Type of Degree

Associate Degree Program:
(Note: You may be awarded any additional credentials that are embedded in your program.)

Certificate Program:

The graduates' names and programs are published in the newspaper by Lakeshore. If you do not want your information published or released to anyone, please contact Student Records at 920-693-1888 or records@lakeshore.edu.

If you have not met your graduation requirements, you are required to submit a new Application for Graduation each time you register for the last course(s) in your program.

By submitting this form, I certify that all information on this application is representative of myself. I give permission to use the information on this form for processing any of Lakeshore's graduation processes.

First Name:

Last Name:

Date:

Lakeshore College does not discriminate against protected classes, including but not limited to race, color, national origin, religion, sex, or gender – including sexual orientation, gender identity, gender expression, disability or age in employment, admissions or its programs or activities. Lakeshore offers degrees, diplomas, apprenticeships and certificates in agribusiness, business, marketing, graphics, human ecology, industrial, health, services, and technical and media instructional areas. Admissions criteria varies by program and is available by calling our Admissions Office at 920.693.1109. The following individuals have been designated to coordinate title IX of the Education Amendments of 1972 and Section 504 of the Rehabilitation Act of 1973 and to handle inquiries regarding Lakeshore's nondiscrimination policies: Vice President of Student Affairs 920.693.1858, Tanya.Boman@lakeshore.edu / Executive Director of Human Resources (staff/others) 920.693.1139, Jennifer.Stohl@lakeshore.edu. 1290 North Avenue, Cleveland, WI 53015. TTY 711 https://lakeshore.edu/equal-opportunity-statement

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