Graduate Degree Time Limit Extension Form
*The Degree Time Limit Extension Form must be completed for all qualifying students who exceed the 6-year time limit
for degree completion (7-years for degree programs in education and 8-years for a Ph.D in Psychology).
Instructions:
1. Student completes Part 1 and submits form and a letter of appeal to their Program Director
2. Program Director makes a determination, completes Part 2 and forwards for final approval
3. Completed form with all signatures is submitted to the Registrar’s Office in Parker Hall
Part 1: Completed by Student
Name: ID#: Phone:
Degree: Major:
*A letter of appeal must be attached prior to submission
Part 2: Completed by Program Officials
Extension Decision:
Approved Denied Original Date of Admittance: _____________
If approved, reason for extension: *Extraordinary Circumstance Military Services
*Comments:__________________________________________________________________
____________________________________________________________________________
____________________________________________________________________________
Revised Completion Deadline Date:_______________
Signature Approval:
___________________________________________________ _________________
Program Director Date
___________________________________________________ _________________
Director of Graduate Studies (College or School of Nursing) Date
*If the Program Director and Director of Graduate Studies are the same, then the Dean's signature is required.
GSA’s Initials: ________________ Date: _________________ Rev: 09/11