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Academic Records

Application for Degree

Important !
Your name will appear on your diploma EXACTLY as you write it below.

Full Name: A value is required. Student ID: A value is required.
What term do you expect to complete your degree?
Fall Winter Spring Summer
Year: A value is required.Invalid format.
Curriculum: Foundations Explorations    
Major(s): A value is required. Minor(s):
Advisor: A value is required.    
Local address while attending BSC: A value is required.
Homel Phone # Work Phone # Cell Phone #
Email Address: A value is required.Invalid format.
Your parent's home address:
Parent's Home Phone #    
Your home town: (used for newspaper releases)

City: A value is required. State A value is required.

I do not want my name released to the media.

By filling in the fields below, I certify that the above information is accurate,

Full Name: A value is required.   Date: A value is required.



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Birmingham, AL 35254

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