D
Record Update for Degree Clearance
Office of Graduate Studies
California State University, Chico
Chico, CA 95929-0875
Fax: 530 898-3342
This form is required of all students who have enrolled in adjunct status for one or
more semesters during their course of study at the University. It is required for graduation to
certify your record is up to date and that all transcripts are on file. Please return this form to the
Office of Graduate Studies as soon as possible in the semester you are graduating.
Name:
Student ID#: Phone:
Permanent Address:
Important: Your diploma will be mailed to your permanent address on file with the University. Please
update any address changes in the Student Center via your portal account
.
Chico State Email:
Important: All communication including Commencement will be sent to you via your Chico State
WildcatMail account. If your preferred email is different, please set the auto-forward in your
WildcatMail account so that you will receive all university correspondence
Schools Attended:
List in chronological order all colleges or universities attended since your admission to the
master's degree program at Chico State, regardless of the length of attendance and even if no
work was completed. If official transcripts from any of these schools are not already on file,
please arrange to have them sent to the Office of Graduate Studies as soon as possible.
Check this box i f Chico State was the only school attended since admission to the
program.
I certify that this information is complete and accurate.
Signature Date
08/2019
