Graduation Application
Student ID Number: _____________
Program of Studies ______________________________________
Major: ________________________________________________
Instructor ______________________________________
GPA _________________
Name as it will appear on your diploma
_____________________________________________________________________
Graduation fee of $95.00 submitted along with this application.
Address to mail graduation credentials:
Street _____________________________________
City __________________________, State _______________, Zip _____________
Student Signature ____________________________________________
Date _____________________________
Mail this completed form to:
SOUTHERN BIBLE COLLEGE & SEMINARY
Graduation Application
PO Box 764
Lenoir City, TN 37771-0764