Author: ambassadors

APPLICATION FOR DEGREE

FOR OFFICE USE ONLY

A $25 non-refundable application fee, payable to NCTA, must accompany your application. This fee applies only to the term marked on this
application and is not transferable to another term.

PLEASE PRINT ID NUMBER _________________________ DATE_________________________
FULL NAME _____________________________________________________________________
(As you want it printed on diploma) First Middle Last
MAILING ADDRESS _____________________________________________________________________
(Where you will receive mail) Street
_____________________________________________________________________
City State Zip Phone
E-MAIL ADDRESS _____________________________________________________________________
HOME TOWN _____________________________________________________________________
(For commencement program) City State
NEWSPAPER _____________________________________________________________________
(To send announcement to) Name of Newspaper
Will not be sent if left blank
_____________________________________________________________________
Address City State Zip
GRADUATION DATE: I will graduate in: May August December Of 20_____
I plan on attending the spring ceremony: Yes No

MAJOR TYPE OF DEGREE OPTION/EMPHASIS MINOR
AG BUS MGT AAS AS
AG PROD AAS AS
HORT AAS AS
VET TECH AAS AS
CERTIFICATE
AMS APS HS VT

Are you currently enrolled at NCTA? Yes No
Are you currently enrolled at another
college/university? Yes No
If yes, where? _____________________________________________________
What courses? _____________________________________________________

CURRENT
ENROLLMENT

Please report changes in graduation plans to NCTA Student Services, 404 E. 7th St. Curtis, NE 69025, (308) 367-5204