DEG rev 10/2020
ADD/REMOVE FROM DEGREE LIST
DEGREE
TERM: FALL SPRING SUMMER YEAR: __________ ADD OR REMOVE
UIN:
__________________________________ NAME: ____________________________________________________
(Please Print: First and Last Name)
DEPT: _______________________________
_ DEGREE NAME/MAJOR: ___________________________________
(For Example, MS: An
imal Sciences)
PLEASE LIST ANY CAMPUS APPROVED MINORS/CONCENTRATIONS THAT SHOULD BE CONFERRED WITH THIS DEGREE:
S
TUDENT'S SIGNATURE: ___________________________________________________________ DATE: ________________
ACADEMIC
DEPARTMENT USE ONLY
PROGRAM CODE: GCP DEPT CODE:
MINORS/CONCENTRATIONS:
DEGREE TERM:
COMMENTS:
A
UTHORIZED DEPARTMENTAL SIGNATORY: ____________________________________________ DATE: ________________
PRINT NAME: ____________________________________________________________________________________________
GRAD
UATE COLLEGE USE ONLY
COMMENTS:
DATE ADDED
/REMOVED:
GRADUATE CO
LLEGE APPROVAL:
If possible, students should use Student-Self Service to
add their name to the upcoming degree list by the
published
deadline. Please contact your department if you
are unable to do so.
5
07 East Green Street, Suite 101 MC-434 Champaign, IL 61820 217-333-0035 grad@illinois.edu
go.grad.illinois.edu/Form-Drop-Off
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