LONGWOOD
UNIVERSITY
Second Bachelor's Degree
Application
1.
5.
4.
6.
3.
2.
Student Informaon
Submission
Diploma Mailing Address
Student’s Signature
Department Chair's Signature
Date
Date
Major
Minor 1
Concentraon
Cell Phone
Home Phone
Minor 2
Commencement Information
Do you plan to participate in Commencement?
Note: If your plans change please notify the registrar office at: registrar@longwood.edu. Students interested in
participating in commencement who have not finished all of their degree requirments must qualify and complete a
Commencement Participation Application as well.
Complete Graduation Plan With Department Chair (see the attached page that is required)*
Approvals (required)*
Name (Last, First MI)
Catalog Year Degree Type
Longwood ID (L#)
Expected Graduaon Date (Month, Year)
Registrar’s Oce Use Only
Processed by
Date
Longwood University
Office of Admissions
201 High St.
Farmville, VA 23909
Phone: 434-395-2060 Fax:
434-395-2332
admissions@longwood.edu
Chair’s Signature for Minor 1
(required)* Chair’s Signature for Minor 2 (required)*
The catalog for the year in which a student enters Longwood University governs academic regulaons, general
educaon, and graduaon requirements. I understand I am expected to sasfy those requirements
The applicant and I believe that he/she has completed all graduaon requirements, expect those on their
aached graduaon plan, and understand that all degree requirements must be completed in order to
parcipate in Commencement. Any changes must be approved & communicated with your degree auditor.
click to sign
signature
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click to sign
signature
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