JMCS Graduation Request Form
Form will be reviewed by the registrar team upon submission. Please check your email as you will be notified if additional information is needed to process your request. The student diploma will be printed and shipped to the location indicated on the form upon approval.
Staff Name
*
JMCS Site
*
Please Select
Camarillo CCC
Camarillo VTC
CC North Bay - San Rafael
CC North Bay - Youth Connections
Chico CCC
Delta CCC
Earle Jamieson
Fortuna CCC
Fresno CCC
GEM Academy WIOA
Independent Study
LA CCC
LA LGBT Center
Monterey Bay CCC
Norwalk CCC
Orange County Conservation Corps
Orange County Youth Center WIOA
Pine Grove Youth Conservation Camp
Placer CCC
Pomona CCC
Rancho Cielo YB
Redding CCC
Richmond YB
Riverside Heritage - Arlanza WIOA
Sacramento CCC (Sac Satellite)
Sacramento Regional CC
San Francisco CC
Sequoia CC (CSET)
Siskiyou CCC
SLO CCC
Solano CCC (formerly Napa CCC)
Success Center YouthBuild
Tahoe CCC
Ukiah CCC
Urban Conservation Corps of Inland Empire (UCCIE) - Indio
Urban Conservation Corps of Inland Empire (UCCIE) - SB
VOALA YB
Westside Youth Academy WIOA Program
Other
Staff Submitting Request Email
*
example@example.com
Student Information
Student Date of Birth
*
-
Month
-
Day
Year
Date
10 Digit State ID
*
5 Digit JMCS ID
*
Student Name
*
First Name
Middle Name
Last Name
Student Name to Appear on Diploma
*
First Name
Middle Name
Last Name
Student Email
*
example@example.com
Student Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Student Address (include apartment number if applicable)
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Location for Diploma Delivery
*
Student address as indicated on form
Site address
Other address as indicated below
Mailing Address
(include apartment number if applicable)
Care Of (C/O)
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Forms Required
Official Transfer Student Transcripts
*
Browse Files
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of
JMCS Unofficial Transcript
*
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of
FAFSA Completion Status
*
Completed
Opt Out (attach form below)
Attach FAFSA Opt Out Form
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Cancel
of
Miscellaneous Forms / Waivers
GED/HiSet Report
*
Used toward graduation requirements
Not Applicable
GED/HiSet Report
Browse Files
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Cancel
of
Credit Overage
*
Used toward graduation requirements
Not Applicable
JMCS Credit Overage
Browse Files
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of
AB Waivers
*
Used toward graduation requirements
Not Applicable
AB Waiver
Browse Files
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of
Other forms
Being used for graduation requirements
Not Applicable
Other
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of
I certify that the following required JMCS documents are in the student file:
*
JMCS demonstration sign-off sheet(s)
Signed copies of each JMCS report card
*
Submit
Should be Empty: