Registrar's Office 303 Lowe Street PO Box 97 Valdez, AK 99686 (907) 834-1632
APPLICATION FOR GRADUATION
Submit a $25 application fee with this form before the deadline published in the semester course schedule.
Diplomas will be printed with the name exactly as it appears on UAOnline. Please verify your name and address on
UAOnline. The Change Form (for name and address) can be found at http://www.uaa.alaska.edu/admissions/forms.cfm.
Name:
First:
Middle: Last:
Student I.D. #:________________________________________
Address: ____________________________________________
City: ________________________________________________
State: ______________________ Zip: _____________________
Day Phone: __________________________________________
Cell Phone: __________________________________________
EXPECTED DATE OF GRADUATION:
MAY DECEMBER
SUMMER Year: ____________
Degree/Certificate: ____________________________________
Major: _______________________________________________
Catalog Year: ________________________________________
Email: _____________________________________________________________________________________________________
COMPLETION OF THE FOLLOWING COURSES SHOULD FULFILL MY GRADUATION REQUIREMENTS
Students are held responsible for meeting all academic regulations and degree/certificate requirements as printed in the University catalog
_________________________________________________________________
_________________________________________________________________
_________________________________________________________________
Academic Advisor or Registrar’s Signature
_________________________________________________________________
_________________________________________________________________
X
___________________________________________________________ _______________________
Student’s Signature Date
Students who complete the requirements and meet the Application for Graduation deadline during the academic year (Fall & Spring
Semesters) are invited to participate in the annual commencement ceremony in May. Students who apply for graduation and do not
complete their requirements at the end of the semester must REAPPLY pay the $25 fee. Application for Graduation deadlines are
published in the semester course schedule.
Please Note: Diplomas are printed with the student’s name exactly as it appears on UAOnline. Diplomas reflecting a subsequent
name change will not be automatically reordered. After submitting a Change of Name form, it is the student’s responsibility to
request, in writing, an updated diploma and pay the $25 reorder fee.
Names of students with directory holds/confidentiality flags on their student record will NOT be printed
in graduation programs or released to the media. Verify your information on UAOnline.
Date
OFFICE USE ONLY
Degree Checks: Initial _______________ Follow Up ______________ Final ______________
Degree Awarded Date: _____________________ Calculated GPA: ________________
Summa Cum Laude Magna Cum Laude Cum Laude
OFFICE USE ONLY
Application Entered: ______________________ Paid
Degree Sequence: __________________________________
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