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FORMCHECKBOX Degree & Diploma Application (submit two (2) quarters before you plan to earn your degree or certificate) FORMCHECKBOX Transfer Credit Evaluation(Official transcripts only!)Names are a very important and a personal piece of our identity. Pierce College wishes to honor students’ identities by offering the use of their preferred name on the commencement program for our annual graduation. FORMCHECKBOX If you would like to use this option, please check this box and enter your preferred name: FORMTEXT ?????If you are uncomfortable being identified in these public spaces by the preferred name you provided, please do not provide it in this circumstance.?Please note, your official student record (transcript and diploma) will still use your legal name as listed on your admissions application. If you have changed your legal name, you can visit Enrollment Services at any of our campuses to update your legal name.Student InformationPlease enter name as it should appear on diplomaFirst: FORMTEXT ????? Middle: FORMTEXT ????? Last: FORMTEXT ????? Student ID Number: FORMTEXT ????? Email Address: FORMTEXT ?????Phone number: FORMTEXT ?????Mailing Address: FORMTEXT ?????Unit/ apartment#: FORMTEXT ????? City: FORMTEXT ?????State: FORMTEXT ????? Zip Code: FORMTEXT ?????Transfer CreditsAre you using credits from another regionally accredited Institution(s)?Name of Institution(s): FORMCHECKBOX Yes (list institutions below) FORMCHECKBOX NoStudent name as it appears on Transcript: FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ????? FORMTEXT ?????Anticipated CompletionQuarter and year I plan to graduate: FORMCHECKBOX Fall FORMCHECKBOX Winter FORMCHECKBOX Spring FORMCHECKBOX Summer20 FORMTEXT ?????Student Signature: FORMTEXT ?????Date: FORMTEXT ?????Please submit this form and all official transcripts to:Evaluations OfficeAdmissions OfficeStone Education CenterMcChord Field Education CenterPierce College LakewoodPierce College Puyallup6242 Colorado Ave825 Lincoln BLVD9401 Farwest Drive SW1601 39th Ave SEFort Lewis, WA 98433McChord AFB, WA 98439Lakewood, WA 98498Puyallup, WA 98374 For general electronic submission: evaluations@pierce.ctc.eduFor military electronic submission: miladvising@pierce.ctc.edu Intended Degree Selection FORMCHECKBOX Not Seeking a degree at Pierce CollegeBachelors of Applied Science FORMCHECKBOX Business Management (50B) FORMCHECKBOX Homeland Security Emergency Management (96B) FORMCHECKBOX Dental Hygiene (30B) FORMCHECKBOX Teaching (40B ) FORMCHECKBOX Fire Services Leadership and Management (8AB)Direct Transfer Degree FORMCHECKBOX Associate of Arts – Direct Transfer Agreement DTA (AAFP) FORMCHECKBOX Math Education (EDMT) FORMCHECKBOX Biology (ABT) FORMCHECKBOX Music (MUS) FORMCHECKBOX AA-Business-DTA FORMCHECKBOX Pre Nursing (PREN) FORMCHECKBOX Construction Management (ACMT)Associate of Science FORMCHECKBOX Associate of Science Track 1 (AS1) FORMCHECKBOX Associate of Science Track 2 (AS2)Professional/Technical Degrees FORMCHECKBOX Applied Accounting (505D) FORMCHECKBOX Homeland Security Emergency Management (966) FORMCHECKBOX Applied Business AAST (502T) FORMCHECKBOX Kinesiology (351T) FORMCHECKBOX Business (502A) FORMCHECKBOX Nursing (323) FORMCHECKBOX Construction Management (570) FORMCHECKBOX Occupational Safety and Health (844) FORMCHECKBOX Criminal Justice (832) FORMCHECKBOX Physical Therapy Assistant (34C) FORMCHECKBOX Digital Design (504) FORMCHECKBOX Social Services Mental Health(369) FORMCHECKBOX Emergency Medical Services (364C) FORMCHECKBOX Technology – General (ATGC) FORMCHECKBOX Fire Services Leadership and Management (829) FORMCHECKBOX Veterinary Technology (115) Early Childhood Education FORMCHECKBOX Early Childhood Education AAS-T (402T) FORMCHECKBOX Early Childhood Education AAS (402)Business/Office Technology FORMCHECKBOX Administrative Assistant Medical Office (565) FORMCHECKBOX Medical Billing and Coding (565A) FORMCHECKBOX Administrative Office Assistant (547A) FORMCHECKBOX Office Management (559E)Computer Information Systems FORMCHECKBOX Computer Network Engineering (527P) FORMCHECKBOX Health Informatics & Integrated Technology (439) FORMCHECKBOX Database Management and Design (503) High School Diploma (If you are earning a High School diploma from Pierce College) FORMCHECKBOX Running Start (DIP) FORMCHECKBOX High School program (HSC) FORMCHECKBOX High School 18+ (H18) FORMCHECKBOX International High School (IHS) FORMCHECKBOX Degree not listed above (Please list): FORMTEXT ????? FORMCHECKBOX Certificate not listed above: (Please list): FORMTEXT ????? ................
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