Fillable Graduate Cert App For Degree

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Graduate Cert App For Degree

On average this form takes 10 minutes to complete

The Graduate Cert App For Degree form is 2 pages long and contains:

  • 2 signatures
  • 3 check-boxes
  • 32 other fields

Country of origin: US
File type: PDF

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LSU | Graduate School
Page 1 of 2
Updated 3/2019
Graduate Certificate Application for Degree
Email submission to gradsvcs@lsu.edu.
Student Information:
LSU Student ID:
Yes No
Degree Only Registration:
Semester/ Year of Graduation:
Diploma Information:
First Name:
Middle Name:
Last Name:
Hometown:
Home State:
Parish/County:
Country:
By sign
ing below, I acknowledge that I understand that the name provided above will appear on my
diploma.
Signatur
e: Date:
Phone: LSU Ema
il:
Degree Inform
ation
Program
Certificate: College: Graduate School
Diploma Distribution:
I will attend the ceremony.
I will pick up my diploma from 112 Thomas Boyd Hall after commencement.
I would like my diploma mailed to:
LSU will NO
T deliver to local addresses, (i.e.) Baton Rouge and the immediate surrounding
areas. Diplomas will be mailed approximately two weeks after commencement.
(see catalog for requirements)
(Type or print the name you want to appear on your dilpoma.)
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signature
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LSU | Graduate School
Page 2 of 2
Updated 3/2019
Graduate Certificate Audit
Email submission to gradsvcs@lsu.edu.
LSU Email:
Student Information:
LSU Student ID:
Name:
Phone:
Home Department:
Program Certificate:
Coursework Information:
List all relevant LSU courses and hours required toward this certificate.
(Ex: EDCI 7055 (3), ECI 7930 (6)
Courses Com
pleted at LSU:
Courses Tr
ansferred or Petitioned (list institution and date taken)
Hours Completed:
Courses Re
maining:
Hours Remaining:
Signatures:
Student: Date:
Graduate Program Advisor: Date:
Dean of the Graduate School: Date:
Hours transferred:
For Office Use Only:
GPA: Reg: CW: Time:
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Graduate Cert App For Degree

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Completed 14 May 2020

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