Completed: ___ Not Comp:___
Date: ________ / ________
INTENT TO GRADUATE FORM
I will complete all requirements in:
Major in which you intend to graduate:
Name - Print EXACTLY as it should appear on the diploma
Home Phone or Cell:
If you are currently taking or will be taking transfer course(s) elsewhere to complete your degree/certificate, please provide the information below:
Course Number and Title:
Date course will end:
An official transcript from the institution must be sent to the Registrar's Office at Quinsigamond Community College upon completion of the course.
I understand that the Registrar's Office will inform me via email to my QCC Qmail account regarding graduation eligibility and other information.
Type in your First and Last name as an electronic signature