Revised 1/16/2020 AGC
GRADUATE DEGREE APPLICATION
THIS APPLICATION MUST BE SUBMITTED TO THE REGISTRAR’S OFFICE BY APRIL 17th
to be eligible for a December 2020 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/Concentration are recorded. If a discrepancy is found, please contact the Registrar’s Office.
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, all graduation requirements must be
completed and all financial obligations to the University must be met.
Student Signature Date (MM/DD/YYY)
ADVISOR’S CERTIFICATION
I have discussed completion of graduation requirements with this student. He/she is in good standing and should fulfill all degree
requirements by December 2020.
Advisor Name Advisor Signature Date (MM/DD/YYY)
FOR OFFICE USE ONLY: Entered into PC ___________
click to sign
signature
click to edit
![]()
click to sign
signature
click to edit
![]()
