Application for Degree/Certificate


Please note that this form should be used only by students in the GoArmyEd/eArmyU Program.
All other students may contact the Graduation Office directly at graduation.info@ctcd.edu.

Degree or Certificate Associate of Arts (AA)
Associate of Science (AS)
Associate of Applied Science (AAS)
Associate of General Studies (AGS)
Certificate of Completion
Major Program of Study
Expected Date of Degree/Certificate Requirements Completion
Race / Ethnic Data requested on a Voluntary basis by the U.S. Department of Education (check all that apply):
Ethnicity:
Hispanic/Latino
Non-Hispanic/Latino 		Race:
American Indian or Alaska Native
Asian
Black or African American
Native Hawaiian or Other Pacific Islander
White
Are you a U.S. Citizen? Yes No Non-Resident
First Name
 Middle Name
 Last Name
Previous last Name (if applicable)
 Student ID OR Last four of Social Security Number
 Date of Birth (MMDDYY)
Name as it should appear on Degree/Certificate
First Middle Last
Phone Number
 Email Address
Current Mailing Address

Street
City
State
Zip
Country
Permanent Mailing Address

Street
City
State
Zip
Country
Mail Degree/Certificate to Current Address Permanent Address
Mail transfer transcripts to:

Central Texas College
Attn: Incoming GoArmyEd/eArmyU Transcript
P.O. Box 1800
Killeen, TX 76540
The above information is correct and complete. I understand that my application for graduation may not be processed if course registration and/or records of previous education or testing are not on file by the stated deadlines.