STUDENT INFORMATION
Name:
Banner ID #:
Note: Only your full legal name as it appears at the time of application on the Banner System can be printed on your diploma.
To change your full legal name, contact the Office of the Registrar.
Hometown: State:
Mailing Address:
Telephone: Bulldog E-mail (Mandatory):
Graduation Term:
Fall Spring Summer
Year:
Academic College:
Department:
Capstone Document:
Action Research Report Dissertation Master’s Report Thesis
Degree (Check One):
MBA MEd MEng MS MSW MURP EdS PhD
Program Major:
Are you completing an academic specialization/concentration?
Yes No
If yes, provide the name of the specialization/concentration:
Name of Previous Institution which granted last awarded degree:
Undergraduate/Graduate Degree:
BA BS
Other (Specify):
APPLICANT’S SIGNATURE
I have read the contents of this Application for Graduation and state that the information supplied herein is correct. I understand that
if I do not meet the requirements, my application for the above-indicated graduation date will be withdrawn, and my name will be
deleted from the commencement program.
Student’s Signature:
Date:
APPLICATION FOR GRADUATION
It is the responsibility of each graduate student to file his/her intent to graduate by the published deadline for the semester in which
he/she hopes to graduate by submitting the Application for Graduation. No student will graduate without submitting a typed
Application for Graduation. This application is valid for the current term only. Candidates who do not meet all requirements by the
published deadline designated on the Graduate Calendar Deadlines-at-a-Glance document for the current term must reapply by
submitting a new application prior to the submission dates for a subsequent graduation term. The Bursar will automatically bill a
graduation fee to your Banner account. A NON-REFUNDABLE graduation fee is applicable for each semester/term for which a
graduation application is submitted. Attendance at Commencement Exercises is mandatory unless an official written excuse is obtained
from the Provost/Vice President for Academic Affairs. Please check your “Bulldog” e-mail for any communication from the Office of
Graduate Studies regarding this application.
Registration is required to be considered for graduation. If a student has completed all
course work for intended degree, as an option one can register for the administrative course, GS 699, Continuing Registration for
Graduate Studies to meet the requirement. A final Program of Study must be submitted with the Application for Graduation in the Office
of Graduate Studies and must reflect catalog for admit term and completed or in-progress coursework with grades.
Complete and submit a complete package by the deadline to the Office of Graduate Studies, Patton Hall Room 213.
A00
Education, Humanities, and Behavioral Sciences
Social Work, Psychology and Counseling
Social Work (CIP Code #44.0701)
Community Mental Health
click to sign
signature
click to edit
Page 2 of 2
Revised 6/29/2017
PROGRAM/DEPARTMENT/ACADEMIC COLLEGE APPROVALS
REGRISTATION STATUS OF APPLICANT?
Enrolled Not Enrolled
COMPLETION OF ALL PREREQUISITES INDICATED IN ADMISSION LETTER?
Yes No
COMPREHENSIVE EXAMINATION RESULT?
Pass Fail Not Available
COMPREHENSIVE EXAMINATION DATE:
EXAM SCHEDULED FOR CURRENT SEMESETER?
Yes No
TRANSFER CREDITS AVAILABLE FROM ANOTHER UNIVERSITY?
Yes No
IF SO, NAME OF INSTITUTION:
Submit an Official Transcript and Transfer Credit Form to the Office of Graduate Studies for Approval.
SIGNATURES FOR APPROVAL
Signing this Application for Graduation indicates that all information is correct and that program and departmental records have been
checked to verify this student’s qualification for graduation.
Check One:
Approved, Program/Major Requirements Met Denied, Program/Major Requirements Not Met
Print Academic Advisor’s Name
Extension:
Email:
Academic Advisor’s Signature:
Date:
Print Chairperson’s Name:
Extension:
Email:
Chairperson’s Signature:
Date:
Print Graduate Studies Dean’s Name:
Extension:
Email:
Graduate Studies Dean’s Signature:
Date:
Please return this form to:
Alabama A&M University
School of Graduate Studies
213 Patton Hall Building
Normal, AL 35762
Fall
Dr. Tonya Perry
8356
tonya.perry@aamu.edu
Dr. Derek Dunn
5577
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Revised6/28/2017
PROGRAM OF STUDY
It is the responsibility of each graduate student to submit the initial Program of Study before the end of the second semester of
enrollment. Final Program of Study is required with the Application for Graduation during final semester. No student will graduate
without submitting a typed Program of Study. If your study plan has changed and the document requires revision, student must submit
a new Program of Study. Program of Study must reflect student’s course catalog for admit term and completed or in progress
coursework.
Complete and submit typed document to the Office of Graduate Studies, Patton Hall 213.
STUDENT INFORMATION
Name:
Banner ID #:
Date Submitted:
Current GPA:
Admit Term:
Fall Spring Summer Year:
Graduation Term:
Fall Spring Summer Year:
Academic College:
Department:
Degree (Check One):
MBA MEd MEng MS MSW MURP EdS PhD
Program Major:
Specialization/Concentration:
Capstone Document:
Action Research Report Dissertation Master’s Report Thesis
SIGNATURES
Student: Student’s Signature: Date:
Academic Advisor: Academic Advisor’s Signature: Date:
Department Chairperson:
Chairperson’s Signature: Date:
Academic Dean: Academic Dean’s Signature: Date:
Graduate Studies Dean: Graduate Studies Dean’s Signature: Date:
A00
Education, Humanities, and Behavioral Sciences
Social Work, Psychology and Counseling
Social Work
Community Mental Health
Dr. Tonya Perry
Dr. Lena Walton
Dr. Derek Dunn
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Revised6/28/2017
DEFICIENCY COURSES
Course Title Subject
Course
Number
Credit
Hours
Grade Term Year
CORE PROGRAM COURSES
Course Title Subject
Course
Number
Credit
Hours
Grade Term Year
SPECIALIZATION/CONCENTRATION COURSES
Course Title Subject
Course
Number
Credit
Hours
Grade Term Year
Race, Ethnicity, Gender & Diversity
SWK
522
3
Rural/Urban Social Work
SWK
523
2
Social Work Empowerment
SWK
587
3
Social Work Practice Interventions in Mental Health
SWK
602
3
Issues & Policies in Community Mental Health
SWK
616
3
Family Theories & Processes
SWK
621
3
Assessment of Individuals
SWK
660
3
Field Practicum & Seminar II
SWK
680
4
SWK Practice - Groups
SWK
601
3
Needs Assessment & Program Evaluation
SWK
630
3
Field Practicum & Seminar III
SWK
681
4
Integrative Seminar
SWK
689
3
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NOTE: A student who has earned the Master’s degree can transfer up to a maximum of 24 semester hours of credit, whereas a student
who does not have a master's degree can transfer up to a maximum of 12 semester hours of graduate credit (GR. Policy #18.3)
ELECTIVE COURSES
Course Title Subject
Course
Number
Credit
Hours
Grade Term Year
TRANSFER CREDIT HOURS
Course Title Subject
Course
Number
Credit
Hours
Grade Term Year
SWK
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EXAM
EXAM (IF APPLICABLE) PASS FAIL TERM YEAR
Comprehensive Exam
CAPSTONE DOCUMENT
Capstone Document:
Action Research Report Dissertation Master’s Report Thesis
COMPLETION OF THESIS PREPARATION WORKSHOP:
Yes No
TITLE OF DOCUMENT
THESIS/DISSERTATION COMMITTEE
1.
2.
3.
4.
5.
APPROVED NOT APPROVED TERM YEAR
THESIS/DISSERTATION PROPOSAL
PASS FAIL TERM YEAR
THESIS/DISSERTATION ORAL DEFENSE
CREDIT HOURS
TOTAL THESIS RESEARCH CREDIT HOURS
TOTAL CREDIT HOURS REQUIRED FOR DEGREE COMPLETION
39