Fillable APPLICATIONFORDEGREE GraduatePrograms OfficeoftheRegistrar Thecompletionofthisformisrequired.ThefallgraduationformdeadlineisSeptember30thandthespring andsummergraduationformdeadlineisJanuary30th.Failu

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APPLICATIONFORDEGREE GraduatePrograms OfficeoftheRegistrar Thecompletionofthisformisrequired.ThefallgraduationformdeadlineisSeptember30thandthespring andsummergraduationformdeadlineisJanuary30th.FailuretoreturnthisformbythedeadlinetotheOffice oftheRegistrarcoulddelayyourgraduation.Incompleteorunreadableinformationonthisformmaydelay processingand/orresultinerrorsinyournameonyourdiplomaorinthecommencementprogram. MailDiplomato:Includeyourstreetaddress,city,state,andzipcode. (Malone College)

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The APPLICATIONFORDEGREE GraduatePrograms OfficeoftheRegistrar Thecompletionofthisformisrequired.ThefallgraduationformdeadlineisSeptember30thandthespring andsummergraduationformdeadlineisJanuary30th.Failu form is 2 pages long and contains:

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APPLICATIONFORDEGREE
GraduatePrograms
OfficeoftheRegistrar
Thecompletionofthisformisrequired.ThefallgraduationformdeadlineisSeptember30thandthespring
andsummergraduationformdeadlineisJanuary30th.FailuretoreturnthisformbythedeadlinetotheOffice
oftheRegistrarcoulddelayyourgraduation.Incompleteorunreadableinformationonthisformmaydelay
processingand/orresultinerrorsinyournameonyourdiplomaorinthecommencementprogram.
PersonalInfo
Name:Typeorprintyournameasyouwantittoappearonyourdiploma. Hometown:Whereyouarefrom.

MailDiplomato:Includeyourstreetaddress,city,state,andzipcode.
CellPhone: EmailAddress:

DegreeInformation
DegreeExpected:
MasterofArtsinEducation
MasterofScienceinNursing
MasterofArtsinOrganizationalLeadership
MasterofBusinessAdministration
Program:(ifapplicable)
ClinicalMentalHealthCounseling
ClinicalCounseling
SchoolCounseling
EducationalLeadership
Adolescent&YoungAdultLicense
InterventionSpecialist
CurriculumandInstruction
FamilyNursePractitioner
Adult‐GerontologyAcuteCareNursePractitioner
ParticipationInformation
Indicatethesemesteryouwillcompleteallrequirementsforgraduation.
__________FallSemester__________SpringSemester__________SummerSemester
(year)(year)(year)
Malone’sCommencementCeremonytakesplaceaftereachspringsemester.Therefore,theceremony
datewhichyouareinvitedtoparticipatewillbedeterminedbyyourcompletiondate.Pleasereferto
thelistbelowtodeterminewhichceremonyyouareinvitedtoattend:
IfallrequirementsarecompletedbytheFall2019,Spring2020,orSummer2020semester,
studentswillparticipateintheSpring2020CommencementCeremony.
IfallrequirementsarecompletedaftertheSummer2020semester,studentswillparticipateinthe
Spring2021CommencementCeremonyorlater.
Doyouwishtoparticipateinthegraduationceremony?YesNo
Ifyes,yourcapandgownorderinformationisneeded.Pleaseprovideyourheightandweight.
Thecompanyusesaheighttoweightratiotosizeyourgown.
Note:Ifyouarenotparticipating,acapandgownwillNOTbeorderedforyou.
__________Height(infeetandinches,i.e.5’7)__________Weight
Typeorprintyournamephoneticallyasyouwishittobepronounced.Forexample:Forthelastnameof
Simons,write“SimonssoundslikeSigh‐mons.”
EducOnly
Ifyouarecompletinglicensureorendorsementrequirementsaspartofamaster’sdegree,youwill
needtosubmitanadditional,separateapplication.Somelicensureorendorsementareasrequirea
specialtyexam.Ifyouhaveanyquestions,pleasecontacttheSchoolofEducationandHuman
Development.
Fee
GraduateFee:$135.00Thegraduationfeeisrequiredandmustbepaidregardlessofwhetheryou
choosetoparticipateinthegraduationceremonies.
PaymentcanbemadepayabletoMaloneUniversitybycheck(pleaseindicategraduationfeeon
memoline),byphoneusingadebitorcreditcard(330‐471‐8113)orthroughMaloneXpress.After
loggingintoMaloneXpress,selecttheStudenttabandthenStudentAccounts/GotoePioneer.
Note:Duetofederalregulations,graduationfeesmaynotbepaidwithfederalloanfunds
unlessthestudenthassignedaTitleIVauthorizationformrequestingsuch.
CoursesLefttoComplete
AcopyofyourCustomAdvisingWorksheetmustbesubmittedwiththisform.IndicateALLremaining
requirementslefttocompleteyourdegreeatthetimeofapplyingincludinganyinprogresscourses
below.Pleasenotethatyourapplicationwillnotbeprocessedunlessthissectioniscompleted.
Course# CourseTitle Hours Term





Pleasereviewandsignbelow:
IhavereviewedmyCustomAdvisingWorksheetandunderstandthegraduationrequirementslistedinthe
UniversityCatalog.Ihavediscussedanyadvisingquestionswithmyadvisor.Failuretofulfillanyunmet
requirementwithinthedeadlinesestablishedmayresultinchangestomyanticipatedgraduationdateand
couldchangetheceremonyinwhichImayparticipate.
StudentSignature(Electronicsignatureswillnotbeaccepted.)Date
ProgramDirectorApprovalforGraduation
ProgramDirectorSignatureDate
NotetoProgramDirector:Ifapproved,pleasesendacopytotheOfficeoftheRegistrar.
ReturnyourApplicationforDegreeandacopyofyourCustomAdvisingWorksheettotheOfficeofthe
Registrarviaoneofthefollowingoptions:
DropyourcompletedformoffattheOfficeoftheRegistrarlocatedinFoundersHall.
Faxyourcompletedformto(330)471‐8661.
Emailyourcompletedformtoregistrar@malone.edu.
Feelfreetocallourofficeat(330)471‐8128toconfirmthatwehavereceivedyourform.
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APPLICATIONFORDEGREE GraduatePrograms OfficeoftheRegistrar Thecompletionofthisformisrequired.ThefallgraduationformdeadlineisSeptember30thandthespring andsummergraduationformdeadlineisJanuary30th.FailuretoreturnthisformbythedeadlinetotheOffice oftheRegistr

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Completed 23 July 2020

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