RCD/INT

STUDENT ID NUMBER
CALIFORNIA STATE UNIVERSITY, SACRAMENTO

BACHELOR'S DEGREE APPLICATION

FIRST

Diploma name must conform to the

legal name on your Sac State record.

MIDDLE

LAST

LOCAL ADDRESS

CITY

STATE

DEGREE :
BM
BA

ZIP

BS

BVE

Second Bachelor's

DEPT

OTHER

E- MAIL ADDRESS

Graduation Date: Fall 20

Credential Candidate: Yes

No

Spring 20

Summer 20

Catalog Year of Major:

Concentration:

MAJOR:
EVAL
NOTES

/
HOME

(Each concentration requires

a separate application)
NO.

SEM
HRS

COURSE TITLE

GRD

EVAL
NOTES

DEPT

NO.

COURSE TITLE

SEM
HRS

* MAJOR Waiver or Substitution of Courses and/or Hours:

Major Advisor's Approval

Student Signature

Date

Print

Major Chairperson's Approval

Date

Date

FOR OFFICE USE ONLY

Reset

Date Coded
Initials

GRD