OFFICE OF THE REGISTRAR

COSTAATT, 9-11 MELVILLE LANE, PORT OF SPAIN, TRINIDAD AND TOBAGO ENQUIRIES: Phone (868) 625-5030 ext 5902 e-mail: registrar@costaatt.edu.tt

CONFERMENT OF DEGREE AND GRADUATION APPLICATION FORM

Instructions:

APPLICATION DEADLINE: SEPTEMBER 12, 2012

1. The candidate is required to evaluate his/her record with an advisor to ensure that all academic and college requirements
have been met. 2. After the evaluation the advisor must print and attach the Academic Advisement Guide to this form. The advisor then signs in the space provided at the back 3. The candidate then submits the form, signed by the advisor, to the Head of Department for final approval.

Application Number

4. It is the candidates responsibility to submit the completed form, with all the necessary signatures, to the Office of the

Registrar prior to the deadline. NB: Each candidate is required to complete and return this form even if he/she does not intend to participate in the graduation ceremony.

Date Submitted

D D M M Y Y

Y Y

STUDENT INFORMATION - PLEASE PRINT

Student ID Number Last name First name

0 0 0
(Area Code) Home Telephone (Area Code) ce and / or Cellular Telephone E-mail

Mailing Address

Current Programme

Start of programme - State Semester & Academic Year

End of programme - State Semester & Academic Year

Attendance at the Gala Dinner & Awards Ceremony November 15, 2012
Your ticket is free. You are allowed one guest at a cost of $350.00

Participation in the Graduation Ceremony November 17, 2012

19 November 2011

(payment of a graduation fee is no longer required) You are allowed 2 guest tickets

NO. I will not be attending the Gala dinner YES. I will be attending the Gala dinner
With a guest? Y N

NO. I do not intend to participate in the Ceremony YES. I intend to participate in the Ceremony

Signature of Student

Date D D M M Y Y Y Y SAOR-21-160511

OFFICIAL USE ONLY 1. ACADEMIC CLEARANCE - ADVISOR

Name of Advisor in block letters Semester of Completion .............. Degree GPA ............. ............ GRADUATION HONOURS Bachelors
Summa Cum Laude Magna Cum Laude Cum Laude

3. COLLEGE CLEARANCE

Signature of Advisor

Associate
With Highest Honours With High Honours Honours Good

GPA
3.9 to 4.0 3.5 to 3.89 3.2 to 3.49 3.19

Date D D M M Y Y Y Y
FINANCIAL HOLDS?

Good

2. ACADEMIC CLEARANCE - DEPARTMENT

academic requirements of the programme.

Details ...............
.

ACADEMIC HOLDS?

Details . ................. CEREMONY / GALA INVITATIONS Graduation Invitation numbers: Graduand _______________________
Departmental Stamp goes here

Guest 1. ________________________ Guest 2. ________________________ Gala Invitation numbers Graduand _______________________ Guest ________________________

Signature Head of Department

Date

Receipt #. _______________________

RECEIPT OF DEGREE/CERTIFICATE
Print Name ___________________________

Signature ____________________________

Date D D M M Y Y Y Y

Date _______________________________