Rev. 20191030
APPLICATION FOR GRADUATION
A current student may apply for graduation in a given term by completing this form or by logging in to
MCWconnect. All certificate or degree requirements must be successfully completed for a student to graduate from
the Medical College of Wisconsin. All holds must be cleared for a graduate to receive a diploma. A student
intending to graduate will receive information about Commencement from his/her School/Program and Special
Events. If a student does not meet graduation requirements, the student must complete a new application for
graduation for the appropriate term.
Section 1
Legal Name: __________________________________________________________________________________
(Last name) (First name) (Middle initial)
Please note, your diploma will reflect your first name, middle initial, and last name, as well as any suffix.
If you have changed/will change your name, please submit a Name Change Form to the Office of the Registrar.
MCW Email Address: __________________________________________________________________________
Personal Email Address (to be used after graduation): _________________________________________________
Please indicate below the term in which you intend to graduate. If you intend to graduate in multiple terms
with multiple degrees, please complete one form for each graduation term.
Graduation Term: Fall Spring Summer (Graduate School only)
Campus: _________________________ Program: ___________________________________________________
Anticipated Degree: Certificate MA MD MD/MPH MD/MS MMP MPH MS MSA PharmD PhD
Graduate Students Only: the following graduation fees will appear in your MCW tuition account.
$75 - PhD
$50 - MA, MS, MMP, MPH
$25 – Certificate
Fee Waived for Master’s degree candidates graduating with joint degree from Marquette University.
Student Signature: _______________________________________________________ Date: ________________
ALL COMPLETED FORMS MUST BE RETURNED BY THE DEADLINE TO: Office of the Registrar,
M3200, 8701 Watertown Plank Road, Milwaukee, WI 53226 · acadreg@mcw.edu /414-955-8733
Registrar Signature: _____________________________________________________ Date: ________________
