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SHIPPENSBURG UNIVERSITY APPLICATION FOR GRADUATION (BACHELOR’S DEGREE)
Please read instructions on reverse side before completing this form.
Do not use this form if you are able to access the on-line form
NAME — Print your name exactly as you want it to appear on your diploma:
____________________________________ _________________________________ _______________________________
Last Name First and Middle Name SU ID
DIPLOMA MAILING ADDRESS (Address to which diploma is to be mailed)
Street: ____________________________________________________________________________________________________
City, State, Zip: _______________________________________________________________________ _____________________
PRINT YOUR EMAIL ADDRESS: Phone:
DEGREE AND MAJOR — Please check degree being sought and list major and minor:
Bachelor of Arts Bachelor of Science Bachelor of Social Work B.S. in Business Administration B.S. in Education
Major(s): ___________________________________________ , ___________________________________________
Minor(s): ___________________________________________ , ___________________________________________
COMPLETION — When do you expect to complete your degree requirements?
May (end of spring semester) August (end of summer) December (end of fall semester) January (end of winter)
COMMENCEMENT — Which commencement ceremony do you plan to attend?
May (May and August graduates) December (December and January graduates) I do not plan to attend
SIGNATURE ________________________________________________________________ Date: __________________________
**YOUR SIGNATURE INDICATES THAT YOU AGREE TO HAVE YOUR NAME PUBLISHED IN THE COMMENCEMENT
PROGRAM(S) AND INCLUDED ON UNIVERSITY GRADUATION LISTINGS**
FOR OFFICIAL USE ONLY:
tlr 10/28/15
Student Accounts:
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INSTRUCTIONS FOR COMPLETING THE
APPLICATION FOR GRADUATION (BACHELOR’S DEGREE)
SHIPPENSBURG UNIVERSITY OF PENNSYLVANIA
GENERAL INSTRUCTIONS
Applications for graduation must be submitted prior to the beginning of the semester in which you plan to graduate.
Please complete all questions on the form, printing the information clearly.
The application fee is $35.00. Make checks payable to Shippensburg University.
Return the application form with your fee to the Student Accounts Office, Old Main 100. Applications will be
reviewed by your dean’s office. Following the review from your dean’s office, you will be notified of your
application status via email. If you fail to meet the degree requirements after your final semester (by failing a
course, withdrawing from a course, not achieving the required QPA, etc.), it is your responsibility to reapply for
graduation.
IMPORTANT NOTE: If you are planning to attend the graduation ceremony, visit the Shippensburg University Store
located in the Ceddia Union Building in order to obtain the proper graduation attire or contact them by phone at 717-
477-1600.
SPECIFIC INSTRUCTIONS
NAME: Print your name exactly as you want it to appear on your diploma. Last name with any notations (Jr., III) then
first name and middle name. Clearly show any accent marks or other special characters. On the diploma, your name will
be printed as first name followed by middle name followed by last name.
DIPLOMA MAILING ADDRESS: Print the mailing address where you want your diploma to be mailed. Your
hometown will be listed in the commencement program, based on the permanent address listed in Self-Service Banner.
Please note: diplomas are mailed approximately 4-6 weeks after your graduation date. If your diploma mailing address
changes you will need to notify the Registrar’s office at graduation@ship.edu
to update your diploma mailing address.
DEGREE AND MAJOR: Check the appropriate degree and list majors and minors. It is your responsibility to
officially declare your major and minor with your college dean.
COMPLETION: Degrees are awarded four times a year: in May, after the spring semester; in August, after the
summer terms; in December, after the fall semester and in January, after the winter term. Please check the box that
corresponds to the term in which you will complete all your degree requirements.
COMMENCEMENT: Commencement ceremonies are held in May and December. August graduates participate in
the May ceremony and January graduates participate in the December ceremony. Please check the appropriate box.
SIGNATURE: Be sure to sign and date the application form. Return with the $35.00 application fee to the Student
Accounts Office, Old Main 100.
NOTE: The application fee for graduation is paid ONLY ONE TIME for each degree.
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Completed 26 August 2020

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