UNDERGRADUATE DEGREE APPLICATION
THIS APPLICATION MUST BE SUBMITTED TO THE REGISTRAR’S OFFICE BY APRIL 17
TH
2020
to be eligible for a December 2020 degree conferral
*Any form received after the due date may be subject to a late filing fee: $100 *
STUDENT NAME: STUDENT ID:
PLEASE NOTE: It is the student’s responsibility to log into Self Service >Academic Plan and check that the correct
Degree/Major/Minor are recorded. If a discrepancy is found, please contact the Registrar’s Office. If you wish to drop a
Minor, please see below.
The advisor and student acknowledge the following must be completed prior to degree conferral:
A minimum of 124 graded units
A minimum of 36 upper division units
A minimum degree GPA of 2.0
A minimum major GPA of 2.0
All CORE requirements will be complete
All major 1 requirements will be complete
All major 2 requirements will be complete
All minor requirements will be complete
Program
Name of Advisor
Advisor Signature
Date
Major 1
Major 2
Minor 1
Minor 2
Minor 3
Do you wish to DROP a Minor at this time? (please check) Yes No
If YES, please indicate below. You do NOT need your advisor’s signature.
_______________________________________ ________________________________
Minor to Drop Student Signature
STUDENT’S STATEMENT
I have discussed completion of graduation requirements with my advisor and agree to the following:
I will complete all graduation requirements by December 2020
I plan to participate in the May 2021 Commencement Ceremony (please check): Yes No
I understand that in order to participate in the May 2021 Commencement ceremony, all graduation
requirements must be completed and all financial obligations to the University must be met.
Student Signature Date (MM/DD/YYYY)
FOR OFFICE USE ONLY: Entered in PC ___________
Revised 01/16/2020 AGC
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