Intent to Graduate Form

Student Information

Please provide full official name as it appears on your student records. Do not use nicknames.
Official name Official name First Middle Last
Name to be printed on diploma Name to be printed on diploma First Middle Last
Student ID Number (ctcLink ID)
Phone Phone - ### - ### ####
Address (Where your diploma will be mailed) Address (Where your diploma will be mailed)
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Note: This is where your diploma will be mailed.
Are you a Veteran of the United States Armed Forces?

Are you a Veteran of the United States Armed Forces? Yes No
Please indicate which branch:

Please indicate which branch: Army Navy Marine Corps Air Force Coast Guard National Guard
How many programs are you graduating from?

Please select the number of programs you are graduating from
If you have not already received a high school diploma, you may be eligible to receive a Washington State High School Diploma upon completion of any associate degree at Green River College, per Washington State RCW 28B.50.535.
Have you previously earned a high school diploma or plan to earn a diploma through your high school this academic year?

Have you previously earned a high school diploma or plan to earn a diploma through your high school this academic year? Yes No
If you answered "No" to the previous question, would you like Green River College to award you a Washington State High School Diploma upon completion of an associate degree, per Washington State RCW 28B.50.535?

If you answered "No" to the previous question, would you like Green River College to award you a Washington State High School Diploma upon completion of an associate degree, per Washington State RCW 28B.50.535? Yes No
Do you plan on participating at the ceremony in June?

Do you plan on participating at the ceremony in June? Yes No
Program Information

Program titles can be found in the Green River College Catalog Programs of Study.
Program of study
Completion quarter
Completion Year
Catalog Year

Please list the year used for your Degree Audit or ctcLink Academic Advisement Report
Program Two

Program titles can be found in the Green River College Catalog Programs of Study.
Program of study
Completion quarter
Completion Year
Catalog Year

Please list the year used for your Degree Audit or ctcLink Academic Advisement Report
Program Three

Program titles can be found in the Green River College Catalog Programs of Study.
Program of study
Completion quarter
Completion Year
Catalog Year

Please list the year used for your Degree Audit or ctcLink Academic Advisement Report
Program Four

Program titles can be found in the Green River College Catalog Programs of Study.
Program of study
Completion quarter
Completion Year
Catalog Year

Please list the year used for your Degree Audit or ctcLink Academic Advisement Report
Leave a comment

Please include any information that may assist the evaluator such as concentrations, transferring in final credits, etc.
Terms & Agreement

Terms & Agreement I, the student, understand and acknowledge that I am responsible for ensuring I have met all of the degree, certificate, or program requirements for which I am coded.
Name Name First Last

Intent to Graduate Form

Intent to Graduate Form

Student Information

Program Information

Program Two

Program Three

Program Four