Montana State University Billings
Office of Admissions and Records/Registrar
APPLICATION FOR CERTIFICATE, ASSOCIATE OR ASSOCIATE OF APPLIED SCIENCE DEGREE
All applications for graduation must be on file with the Registrar no later than the end of the 10
th
week of the semester PRIOR to the
semester of completion. Applications are valid only for the year (Summer through Spring) in which they are submitted.
To Be Completed by the Student Attending Commencement ? YES
Please Print in Ink or Type Year _________________ NO
Print Name (
as you wish for it to appear on your diploma)
Student ID#
Semester of Graduation:
Fall
Summer
Spring
Year of Graduation
Dates of Catalog Graduating Under
Program
2
nd
Program
2
nd
Degree
(additional application required)
Home Town as you Wish it to Appear in the Commencement Program:
Mailing Address
Phone (including area code)
City
State
Zip
Diploma Address
Phone (including area code)
Street
City
State
Zip
**PLEASE attach a printout of your DegreeWorks audit**
Signatures: Only Advisor Signature is necessary at the time of application for graduation. Admissions and Records will route to
Department after final grades are posted.
___________________________________________ ___________________________________________________
Advisor Name (print) Advisor Signature Date
NOTES:_______________________________________________________________________________________________
__________________________________________________________________________________________________________________________________________________________________________
I have met with my faculty advisor and understand the requirements I must fulfill for graduation.
*CANDIDATE’S SIGNATURE
Date
Email
*Signing this application overrides any non-disclosure forms signed in the past. Any and all graduation information will be released for public records.
________________________________________________ _________________________________________________
Department Chair Signature Date College Dean Signature Date
To Be Completed By the Office of Admissions & Records/Registrar:
Total Institution Earned Credits __________
Total Transfer Earned Credits __________
Total Incomplete Credits __________
Total Credits Currently Enrolled __________
TOTAL CREDITS _______
General Ed Complete
Major Requirements Complete
Minor Requirements Complete
University Requirements Met
GPA Requirements Met
Major Code(s)__________________ College(s) ____________________ Degree(s)____________________ Dept(s)__________________
Program(s)__________________ Minor(s) Code___________________ Honors __________________ GPA/Grad Yr_________________
Paid YES
NO
Receipt #________________ Date_____________
Diploma Sent______________________
Print Form