Intent to Graduate – River Valley Community College

Student ID#*
Name*
Last First Middle
Address*
Street Address Address Line 2 City State ZIP Code
Email Address*
Telephone #*
Academic Program*
*
- Associate Degree
- Certificate
(Please submit a separate form for each program you intend to graduate from.)
Name exactly as you would like it to appear on your diploma*
(Please print clearly. This is where you can decide if you want your middle name or initial, a formal first name or a shortened version, etc.)
Anticipated Graduation Date*
- December 18, 2019* (Intent to Graduate form due November 1, 2019)
- May 15, 2020* (Intent to Graduate form due November 1, 2019)
- August 12, 2020* (Intent to Graduate form due November 1, 2019)
(*See Student Handbook for information on graduation requirements and policies)
Do you plan to participate in the graduation ceremony on May 15, 2020?*
- Yes
- No
If you plan to walk, but have remaining credits to finish in the Summer 2020 term, please submit the Exception to Participate in Graduation Exercises On May 15, 2020 Request Form to the Office of Academic & Student Affairs. Please ensure you are registered for those classes required to finish.
Signature*
Date*
Date Format: MM slash DD slash YYYY