Fillable CERTIFICATION REQUEST FOR GRADUATION (California State University, Dominguez Hills)

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CERTIFICATION REQUEST FOR GRADUATION (California State University, Dominguez Hills)

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The CERTIFICATION REQUEST FOR GRADUATION (California State University, Dominguez Hills) form is 1 page long and contains:

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  • 8 check-boxes
  • 14 other fields

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File type: PDF

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REQUEST FOR GRADUATION
CERTIFICATION
Office of Admissions and Records (WH 290)
Last Updated: March 23, 2020
DATE RECEIVED IN A&R
Date Stamp and Initial
Cashier’s Stamp Document
Processing fees received:
STUDENT ID:
PHONE NUMBER:
LAST NAME:
FIRST NAME:
ADDRESS:
CITY:
STATE:
ZIP CODE:
DEGREE/MAJOR:
THIS FORM MUST BE COMPLETED AND RETURNED PRIOR TO THE END OF THE TERM
CURRENTLY ENROLLED? Y/N If so, # of units enrolled: ___________ Graduation Term: _________________
CERTIFICATION NEEDED FOR: Employment □ School □ Other □ (Please Explain): ______________________
CHECK TYPE OF LETTER REQUESTED:
_____ DECLARATION OF CANDIDACY
This certification verifies that a student is a candidate for graduation and the expected graduation date. In
order to be certified, the student must have filed an application for award of degree for the term requested.
_____ VERIFICATION OF COMPLETED DEGREE REQUIREMENTS
This verification can be processed only if the student has applied to graduate and all requirements are met
(not including work in progress). If the student is currently enrolled in work that is needed to be computed
in the student’s eligibility to graduate, this verification request will not be approved.
A $4 fee is required for either the Declaration of candidacy or the Verification of Completed Degree Requirements
to be processed.
LETTER SHOULD BE ADDRESSED TO:
_____ Hold letter for will call
_____ Mail letter to addressee
_____ Mail to student
______________________________ _____________________________________________________________
Student Signature Date
Please email the completed form to graduation@csudh.edu
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CERTIFICATION REQUEST FOR GRADUATION (California State University, Dominguez Hills)

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Completed 18 August 2020

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