Certificate of Achievement Application
You must register for certificate completion in Web Registration or at the Student Service Center by using item number GRD1 if this is your first application (use GRD2 for the second application, and GRD3 for the third, etc.). You also need to pay the non-refundable processing fee for each application via the web or at the Cashier's Office. Both of these steps must be completed before this application will be considered.
This application must be submitted prior to the deadline listed below for the quarter you expect to graduate.
Deadlines for application:
You can submit this application online or download it to send by mail or in person. To download, use this link to print the application (in pdf format). You may mail it to: Evaluations Office, Bellevue College, 3000 Landerholm Circle SE, Bellevue, WA 98007, or submit it in person at the Student Services Center located in the Student Services Building.
To submit this application online, fill out the form below and use the Submit button at the end.
Note: The College holds you responsible for familiarizing yourself with the requirements for graduation and regulations applicable to your degree. It is your responsibility to see that the schedule below brings your credits to the required total.
Check one: original application re-application
End of Quarter you expect to receive the degree: Select one quarter from the list Winter 2014 Spring 2014 Summer 2014 Fall 2014 Winter 2015 Spring 2015 Summer 2015 Fall 2015Winter 2016
Name as you would like it to appear on your diploma: (Must use the same name currently in the Student Records, you can only specify any symbol, character or your full middle name.)
Student Identification Number: - - PIN: (You must provide the same student identification number that you use to register or your application may not be processed.)
Address: City: State: Zip code: E-mail address: Phone: Day: Evening:
Certificate desired. If your award is not listed, notify the Evaluations office. Select one certificate from the list Accounting Assistant Administrative Assistant Advanced Business Software Specialist Advanced Video Production Alcohol and Drug Counseling Animation and Graphics Application and Desktop Support Specialist Business Intelligence Developer Cisco Support Technician Database Report Developer Digital Gaming Digital Video Production Early Childhood Education Fire Science Health Unit Coordinator Human Resources Assistant Introductory .Net Programming Medical Dosimetry Microcomputer Support Specialist Microsoft Network Support Operating System Support Specialist Programming for Mobile and Web Development Radiologist Assistant Retail Management Sales and Marketing Sustainability Coordinator Web Marketing Specialist Select only one certificate per application.
You may elect to graduate under the provisions of the official catalog in force either at the time you first entered the program OR at the time that you apply to graduate, providing five (5) years have not lapsed and you have remained continuously enrolled in the program.
Submit Related Documentation: 1. You are strongly advised to meet with your program chair to review your coursework for completing the degree. Submit a copy of the Degree Completion Worksheet reviewed and signed by the program chair so that your graduation evaluation can be completed. 2. To apply any substitute courses toward your degree, you must submit documentation or a copy of the Degree Completion Worksheet which lists the approved courses and signed by your program chair.
Please mail any related documentations to the Evaluations Office at Bellevue College, 3000 Landerholm Circle SE, Bellevue, WA 98007.
Will you be using credits from another institution? Yes No If yes, please submit an official transcript in sealed envelope to the Evaluations Office at Bellevue College, 3000 Landerholm Circle SE, Bellevue, WA 98007 and list the college names here: List all names under which you have previously earned credits:
Projected Enrollment:
Next Quarter: Summer 2013 Fall 2013 Winter 2014 Spring 2014 Summer 2014 Fall 2014 Winter 2015 Spring 2015 Department: Course Number: Credits: Department: Course Number: Credits: Department: Course Number: Credits: Department: Course Number: Credits:
Final Quarter: Fall 2013 Winter 2014 Spring 2014 Summer 2014 Fall 2014 Winter 2015 Spring 2015 Summer 2015 Department: Course Number: Credits: Department: Course Number: Credits: Department: Course Number: Credits: Department: Course Number: Credits:
To submit this application to the Evaluations Office, use the Submit button below.
To avoid duplicate applications, please submit your application only once, either via the web or by mail. If you need to make a change, please use the online Student Inquiry Form.
Updated on 3/18/2013