EmailMe Form - Graduation Application

ctcLink ID# *

Name *

First MI Last

Email *

NOTE: Regardless of what email address you submit here, the Academic Advisement Report generated by this application will be sent to your preferred email address in ctcLink.

Phone *

### - ### - ####

Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Have you graduated from high school? *

Yes, I have a high school diploma.

No, I do not have a high school diploma.

Do you qualify for a high school diploma from Centralia College and are NOT planning to receive a high school diploma from your high school?

Based on the criteria below, I may qualify for a high school diploma from Centralia College.

No, I do not qualify.

If you earn an associate degree, you may be eligible to also receive a high school diploma from Centralia College. This option is only available to students who do not have a high school diploma AND who are either in the Running Start program or who are 21 years old or older.

What degree/certificate are you planning to complete?

Please use the boxes below to indicate the degree/certificates you plan to complete and when.

First Degree

Anticipated Completion Quarter/Year

Enter quarter (fall, winter, spring, orsummer) and year - Example: Spring 2023.

Second Degree

Anticipated Completion Quarter/Year

Enter quarter (fall, winter, spring, orsummer) and year - Example: Spring 2023.

Certificate/Diploma

Anticipated Completion Quarter/Year

Enter quarter (fall, winter, spring, orsummer) and year - Example: Spring 2023.

Do you want to participate in the Commencement Ceremony in June? *

Yes, I would like to participate in the Commencement Ceremony.

No, please mail me degree/ceritficate.

Signature *

Clear

NOTE: All credentials and Commencement information will be mailed to the address that is listed with Enrollment Services. Login to ctcLink and click the Profile tile on your Student Homepage to check your address for accuracy.