New River Community and Technical College Graduation Application Form

Full Name*
First Middle Last
Your name will print as it is in the system. Please check your Self Service Banner for reference. All diplomas will be mailed to address in the system. Diplomas are mailed approximately one month after graduation date. If you need to change your address, you may do so through Self Service Banner or see your advisor.
Student ID*
Email Address (Personal)*

Please use a valid email address that is checked often.
Do not use a @newriver.edu address.
Degree Information
Date of Expected Graduation*
Advisor*
Degree 1
- Associate of Science
- Associate of Applied Science
- Certificate Program
Major
Concentration
Degree 2
- Associate of Science
- Associate of Applied Science
- Certificate Program
Major
Concentration
Course Substitutions in Process or Planned?
- Yes
- No
Cap and Gown Information
**Required Information**
If you are not attending the graduation ceremony, please place NA in the height and weight box.
Graduate caps and gowns will be sent to your campus based on College records.
If my address changes:*
- I will report the change of address to the Registrar's Office in writing.
Height*
For example, 5'4" would be typed as 5 feet 4 inches.
Weight*
If you weigh 140 pounds, it would be entered as 140 lbs.
By initialing here, I certify that my electronic signature above has all the legal standing of a regular signature.*

Degree Information