Fillable GELC DEGREE GRADUATION / CERTIFICATE PROGRAM COMPLETION APPROVAL (Rider University)

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GELC DEGREE GRADUATION / CERTIFICATE PROGRAM COMPLETION APPROVAL (Rider University)

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GELC DEGREE GRADUATION / CERTIFICATE PROGRAM COMPLETION
APPROVAL APPLICATION
Name (PRINT) ____________________________________________________________ Bronc ID#: ______________________________________________
Phone No. ________________________________________Email (other than Rider) _________________________________________________________
Permanent Address: ________________________________________________________________________________________________________________
INDICATE GRADUATION DATE: J-TERM ____; MAY_____; SUMMER I____; SUMMER II_____; DECEMBER____YEAR 20_____
ARE YOU GRADUATING FROM A DEGREE PROGRAM or A CERTIFICATE PROGRAM? (Check One)
Degree Program** ______________Certificate Program_____________
NAME OF PROGRAM YOU ARE ENROLLED IN (Indicate Concentration if applicable):
DEGREE PROGRAM GRADUATES (Check Degree):
Doctor of Ed. Lead (ED.D.) __________Educational Specialist (ED.S.) ___________ Masters of Art (MA) ______________
Masters of Art in Teaching (MAT) ______________
o If you are also receiving a Certificate in addition to your Degree at this time, indicate the certificate(s):
____________________________________________________________________________________________________________________
CERTIFICATE PROGRAM COMPLETERS (Indicate Certificate):
____________________________________________________________________________________________________________________________________________
DO YOU CURRENTLY HAVE AN OUTSTANDING “S” grade? YES ____ NO____ If Yes, list the course no. &
semester :
[Note: All “S” grades must be finalized by the end of the current semester or graduation will be delayed until the following
semester or in the semester that the course is finalized]
DID YOU RECEIVE TRANSFER CREDITS? YES _____NO______ TOTAL NUMBER OF TRANSFER CREDITS ____________
LIST THE REMAINING COURSES NEEDED TO COMPLETE YOUR PROGRAM:
COURSE NO. & COURSE TITLE SEM. & YEAR
____________________________________________________________________________________________________________________________________
___________________________________________________________________________________________________________________________________
WHAT WAS YOUR UNDERGRADUATE MAJOR _____________________________________________________________________________________
UNDERGRADUATE GPA_____________ GRADUATION DATE __________________
NAME OF COLLEGE/UNIVERSITY ___________________________________________________________________________________________________
STUDENT SIGNATURE Date
**IMPORTANT DEGREE PROGRAM GRADUATES: If you are graduating from a degree program, you must also complete the Rider
on-line degree application, which is in your MyRider.
_____________________________________________________________________________________________________________
For Office Use Only: (Rev: 9/1/19)
Met All Program Requirements: YES________ NO________
Academic Coordinator Approval: ______________________________________
Program Director Approval: YES________ NO________
Department Chair Approval: YES_______NO ________
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GELC DEGREE GRADUATION CERTIFICATE PROGRAM COMPLETION APPROVAL (Rider University)

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Completed 25 August 2020

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