1 Start 2 Complete Personal Information Full Name * This is how your name will appear on your diploma. Date of Birth * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year19231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023 Student ID * Personal E-mail * FSCC E-mail Cell Phone Diploma Mailing Address * City * State * - Select -AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarshall IslandsMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Marianas IslandsOhioOklahomaOregonPalauPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirgin IslandsVirginiaWashingtonWest VirginiaWisconsinWyoming ZIP Code * Graduation Information Year of Graduation * Which semester are you applying for? * Fall Spring Summer Are you applying for a degree or a certificate? * Degree Certificate Please select the degree you're applying for * Associate Degree in Arts (AA) Associate Degree in Science (AS) Associate Degree in General Studies (AGS) Associate Degree in Applied Science (AAS) Applied Science Field * Construction Trades Cosmetology Criminal Justice Environmental Water Technologies Farm and Ranch Management Harley Davidson Motorcycle Service Technology Heating, Air Conditioning & Refrigeration John Deere Agricultural Technology Nursing Technical Studies/Applied Technologies Please check the certificate you're applying for * Construction Trades Cosmetology Criminal Justice Environmental Water Technologies Farm & Ranch Management Harley-Davidson Motorcycle Service Technology Heating, Air Conditioning & Refrigeration Masonry Welding Are you a Reverse Transfer Student? * Yes No What school are you reverse transferring from? * Are you planning to attend the graduation ceremony held in May at the Fort Scott campus? * Yes No Are you a member of Phi Theta Kappa? * Yes No Are you a veteran or current military service member? * Yes No With your completion of this graduation application, an official evaluation of your transcript will occur. Please check your FSCC student email for further correspondence regarding graduation. By entering your signature below and pressing submit, you are accepting that a non-refundable graduation fee of $50 will be billed to your account before you receive your diploma or transcript. Check your GIZMO account to ensure the $50 graduation fee has been applied. If the charge is not listed on your account please make payment arrangements with the cashier’s office by calling 620-223-2700 ext. 5090. All degree and certificate-seeking students are required to complete the Exit Exam prior to graduation. Students receiving an Associate in Applied Science Degree or Certificate will take the WorkKeys Assessment. The WorkReady certificate is based on the nationally recognized certification from ACT WorkKeys verifying to employers a student’s skills. Students receiving an Associate in Arts, Associate in General Studies, or an Associate in Science Degree will take the ETS Proficiency Profile test. The ETS Proficiency Profile test allows FSCC to measure, evaluate and enhance student learning outcomes as well as General Education Outcomes. You also accept that you must consult with your advisor to have a degree audit performed before graduation. Fees are subject to change. Student's Signature * Signature Date * Month MonthOct Day Day4 Year Year2023
