Fillable Application For Graduation - application_for_graduation-1

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Application For Graduation - application_for_graduation-1

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Registration and Enrollment Services Revised 08/15/2016 1
APPLICATION FOR GRADUATION
Registration and Enrollment Services
1. Student ID: @
2. Student Name to appear on diploma:
Legal documentation must be presented if name is different than what is in student information system.
3. All students who apply by the 1
st
Monday in March for fall, spring, or summer graduation will be listed in the
Commencement Program. If you prefer to opt out of having your name printed, please check this box.
4. It is the student’s responsibility to update contact information prior to submission of the Application for
Graduation. Please verify and correct all information online or contact Registration and Enrollment Services at 928-
226-4299.
5. Financial Aid Students: If you have received a student loan, you must complete the exit counseling at
www.studentloans.gov.
6. By submitting this Application for Graduation, it does not guarantee your degree or certificate will be conferred. The
Registrar’s Office will evaluate your academic record to ensure all program requirements have been met. A letter of
completion or denial will be mailed within 30 days after the end of the term in which the Application for Graduation is
processed.
7. By signing below, I understand that I will be subject to all requirements and procedures.
Student Signature: __________________________________________ Date: ________________
Advisor’s Printed Name: _____________________________________ Date: ________________
Advisor’s Signature: _______________________________________ Date: ________________
8. Academic Catalog Year: ___________________
9. Program Type: Check only one per application.
Associate of Arts (AA) Degree Associate of General Studies (AGS) Degree
Associate of Applied Science (AAS) Degree Associate of Science (AS) Degree
Associate of Business (ABUS) Degree Certificate
Associate of Fine Arts (AFA) Degree
10. Program Title: ______________________________
11. Program Code (refer to change of major form): _____________________________
12. Term/Year for which student is applying for graduation:
Fall Term Year: _____________
Spring Term
Summer Term
RES Official Use Only
SHADEGR
GPA Honors
SHATCMT
Change of Major
Registration and Enrollment Services Revised 08/15/2016 2
13. Any in-progress and transfer course work needed to complete program requirements
Course Credit
Hours
Term & Year Completion Date Institution
14. NAU Reverse Transfer Degree: Yes No
15. Total CCC and TC Hours Completed Towards Program: _________
16. Total Program Hours Required: _____________
17. GPA: ____________
18. Residency Requirements: Degree 15 credit hours Certificate 1/3 credit hours
19. Second Program Residency Requirements: Degree 15 credit hours Certificate 1/3 credit hours
_______________________________________________________________________________________________
FOR OFFICIAL REGISTRATION AND ENROLLMENT SERVICES USE ONLY
Degree Certificate
GPA Honors Total Earned
CCC Hours
GPA Honors Total Earned
CCC Hours
Cum Laude 3.40-3.69 Honors 3.50-3.89
Magna Cum Laude 3.70-3.89 High Honors 3.90-4.00
Summa Cum Laude 3.90-4.00 GPA 2.00 or higher
GPA 2.00 or higher Residency 1/3 credit hours
Residency 15 credit hours Second Certificate 1/3 credit hours
Second Degree 15 credit hours Substitution(s)
Substitution(s) Cleared Date: By:
Cleared Date: By: Not Cleared Date: By:
Not Cleared Date: By:
AGEC: A B S Date: By:
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Completed 17 November 2019

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