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ATG

Conestoga
 
Application to Graduate
The information you provide on this form is required to process your final student achievement and Document of Recognition. This form should only be completed by students who are taking their final course(s) in a program. Students must be enrolled in a program to be eligible to graduate and must be completed by April to attend June convocation and August to attend November convocation.

Graduation/Alumni Fee: $42.60. This per program fee provides for all services related to graduation, convocation and the Alumni Association. This is not a taxable item.

Please complete all information.
 
OEN (If known)   Student Number *

 
         
Select Title   Last Name *   First Name *
   
         
Second Name   Previous Last Name (If applicable)   Date of Birth *
   
Select a date from the calendar.
         
Apartment Number   Street Name and Number   City
   
         
Province or Country   Postal Code *   Phone *
   
         
Email *      

This is required field
 
         
Program(s) Course(s)
         
         
Program / Course Name *
         
Exected Date of Completion *
Select a date from the calendar.
 
         
I certify that the above information is true and complete. I understand that any false or incomplete information submitted in support of my application may invalidate my application. I have read the Freedom of Information and Protection of Individuals Privacy statement.