Application for
Undergraduate Degree
GCID_________________ Legal Name (as it should appear on your diploma)________________________________________________________________
FIRST MIDDLE LAST
L
ocal Address______________________________________________________________________________Home Phone# _____________________
(
Address to which the evaluated application will be mailed; include street, apt. #, city, state, and zip code)
Diploma Address_____________________________________________________________________________Cell Phone# _____________________
(Address to which the diploma will be mailed; include street, apt#, city, state, and zip code)
D
egree requirements will be completed:
F
all
S
pring
S
ummer (includes May Term) 20_______
Degree you are pursuing:
BA
BBA
BMED
BMT
BS
BSN Catalog Year______________________________
a
s shown on Degree Works audit
Major(s) Minor(s) Concentration(s)
_______________________________________ _________________________________________ ______________________________________
_______________________________________ _________________________________________ ______________________________________
List below all of the courses you are now taking and/or will take to complete the requirements for your degree including transient
courses and the school.
I understand that I need to satisfactorily complete the courses listed above and address any deficiencies identified by my adviser, department chair
and/or the Registrar’s Office to qualify for graduation. If I make changes to the courses listed or to my degree completion plans, I will file a revised
graduation application immediately.
Student Signature____________________________________________________________________ Date___________________________________________________
With the satisfactory completion of the courses listed above, this student will complete course requirements for the major program.
Advisor Signature_______________________________ Date____________________ Chair Signature___________________________ Date____________________
** This application must be forwarded to the Registrar’s Office for final approval. **
U.S. History Exam satisfied
GA History Exam satisfied
U.S. Constitution Exam satisfied
GA Constitution Exam satisfied
Senior Exit Exam satisfied (2 are required for some majors)
Overall Earned Hours___________________________________________
Proposed Hours________________________________________________
Minus Repeated and Excluded Hours_____________________________
TOTAL Hours__________________________________________________
To qualify for graduation, you must satisfactorily COMPLETE
1. All courses as currently listed above. If you make any changes to these
courses, you must submit a revised application to the Registrar’s Office
immediately.
All requirements must be completed by_________________________________
to qualify for graduation in the term listed.
________________________________________________________ ____________
Registrar’s Office Signature Date
Department (Blue)
Advisor (Blue)
Student (Green)
Date received from the department________________________________
1st Evaluation Date______________________________________________
2nd Evaluation Date _____________________________________________
Grad Term Evaluation Date________________________________________
Final Evaluation__________________________________________________
03/2018
Please pay the $45 application fee at
gcsu.edu/registrar/graduation-and-commencement
and attach your receipt to this form.
Order No.________________
Semester______________________________
Subj. & No. Hrs. Repeat
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
Semester______________________________
Subj. & No. Hrs. Repeat
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
Semester______________________________
Subj. & No. Hrs. Repeat
_______________________________________
_______________________________________
_______________________________________
_______________________________________
_______________________________________
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