Petition to Graduate form

Student name:

Graduating month:

May

December

Graduating year:

The name exactly as it should appear on the diploma and graduation program:

T-shirt size (unisex):

I understand that several steps must be taken to obtain a license to practice as a Registered Professional Nurse. This process has additional costs associated with it that I will need to pay to seek licensure. Lakeview College of Nursing does not determine these costs. A date will be announced when NCLEX registration, fingerprinting, and graduation pictures have been scheduled. The following are approximate costs and the final costs will be provided when the schedule date has been announced. Please note there will be certain types of payments accepted for each item, which will also be provided when the dates are announced. If you have an agency paying for your NCLEX license/registration and fingerprinting, the college will cover the payment process on the registration day.

NCLEX Registration - approx. $200
VISA, Master Card, American Express or Debit
NO CASH OR DISCOVER
Fingerprinting - approx. $55
Cash is the preferred method of payment
NCLEX License - approx. $110
VISA, Master Card, or Discover
NO CASH OR AMERICAN EXPRESS

Please read all the information below. By checking each box, you are acknowledging your understanding of these graduation requirements. If you have any questions regarding any of the requirements, please schedule an appointment with the registrar or an academic advisor.

Complete all required nursing courses (60 semester credit hours) with a minimum GPA of 2.5 on a 4.0 scale.

Complete 20 hours of service throughout the curriculum.

Community service hours completed (to see hours that have been submitted, student can find this information in Edvance):

Complete the NCLEX-RN review class, offered by LCN, in the last semester of coursework. Dates will be given later within the semester.

I understand that all financial obligations (tuition, fees/fines, etc.) as well as all graduation requirements must be met in order to graduate. By hitting the submit button, you are petitioning to graduate for the semester indicated on this form.

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