Apply to graduate form

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Personal Information

Enter name exactly as you want it to appear on your document*

NIC student number*

Information for Credential

Address*

City*

Province*

Country*

Postal code*

Phone number

Email address*

Date you expect to complete or have completed your program

Month*

Year*

Have you been given approval for any substitutions or exemptions?*

Yes

Please indicate if you are in Co-op Education*

Yes

Credential Completed

Note: one complimentary transcript will be included with your credential at no charge.

Enter the program taken

If the program is not listed above, please indicate it below

The information on this form is collected under the authority of the College and Institute Act, and will be used for the purpose shown above. Queries about the collection or correction of personal information should be addressed to the Registrar at forms@nic.bc.ca or 1-800-715-0914.
I give North Island College permission to use my name and achievements in graduation publications or announcements.
I hereby authorize North Island College to release my student records to the addressee on this form.

Student name*

Date*