New Mexico Junior College Graduation Application Form

Personal Information

Full Legal Name:
Last Name:   First Name:   Middle Name:
Name as you want it to appear on diploma:

SSN: Student A#:
Date of Birth: (mm/dd/yyyy)

Current Mailing Address:
City:   State:
Zip/Postal Code:
Country:

Home Phone:
Cell Phone:
Email:

Mailing Address for diploma (if different from above):  
City:   State:  
Zip/Postal Code:
Country:

Select degree type:



Major:
Expected Graduation Date: (mm/dd/yyyy)

Graduation Ceremony Information

Do you plan to participate in the Commencement Ceremony?

If yes, please contact the NMJC Bookstore March 9-20 to ordering your cap and gown. If you have any questions, call Julie at 575.392.5392.

Media Information

Do you wish your graduation information to be published in the newspaper?

If yes, do you want the information to be published in the Hobbs News-Sun?  

Do you wish the information published in any other newspaper?
Name of other newspaper: Street Address:
City: State: Country:

May we use any photographs taken at graduation of you in our ads?