Fillable Graduation Petition For Graduate And Professional Programs (Loma Linda University)

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Graduation Petition For Graduate And Professional Programs (Loma Linda University)

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A Seventh-day Adventist Organization
Page 1
Graduation Petition
(for graduate and professional programs)
University Records
INSTRUCTIONS
Helpful note: This form is not for undergraduate students. Students completing an undergraduate degree please fill out the Undergraduate
Intent to Graduate form found online at in the Academic Life section.
Spring and Summer
Program Completions
(May - September)
Autumn
Program Completions
(December)
Winter
Program Completions
(March)
Graduates and Deadlines
Academic Variance: Last day
for School to submit approved
form to University Records
Graduation Petition: Last day
for Student to submit Grad
Petition to School.
Graduation Petition: Last day
for School to submit Grad
Petition to University Records.
As a graduate or professional student you are responsible for the information on this form; we encourage you to thoroughly
read the instructions below before filling out the Graduation Petition.
1. Students are responsible for obtaining all signatures and delivering the completed petition to the school academic
office by the dates listed in the table below, unless an earlier date is specified by your school:
Please Note: The school dean's office is responsible for obtaining a Faculty of Graduate Studies (FGS) signature, when
appropriate, and turning in the final form to University Records according to the degree clearance procedure submission
dates.
2. All official transcripts for non-LLU credits, co-requisites, and prerequisites must be received at least two months prior
to graduation.
3. All approved and School processed Academic Variances (AV) must be turned in to University Records by the School
Academic Office before the deadline shown in the above table. Please work with your School in advance to ensure they
can meet the posted deadlines. Transfer credit must be at the graduate level and must have been taken within five years
of acceptance (unless policy outlines a more recent timeframe). Religion requirements for LLU programs must be a
graduate-level religion course taught at LLU and cannot be given advanced standing or substituted.
4. For students completing more than one degree program in separate schools, please complete a graduation petition for
each school. For example, if you are completing both PharmD (SP) and Bioethics (SR), a graduation petition is
required for each school. If you are completing two programs within one school, such as a Certificate (SPH) and MPH
(SPH), only one graduation petition is required.
5. Summer Completion: If you plan to complete your program in summer quarter and are eligible to participate in the
prior spring quarter graduation, please list projected coursework for winter, spring, and summer quarters, as this form
needs to be submitted by November 1, as shown on the above table.
If you have any questions please e-mail or call (909) 558-4508
www.llu.edu/students
registrar@llu.edu
Page 2
Graduation Petition
(continued)
(for graduate and professional programs)
University Records
GENERAL
INFORMATION
PROGRAM 1 INFORMATION
-Select One-
School of
Last Name
First Name
Middle Name
Student ID
LLU e-mail address
@llu.edu
Do you plan to participate in the graduation ceremony at the end of spring term?
(Please reference the Student Handbook section 4 under Commencement for________________ )
eligibility guidelines
Yes
No
●
-Select One-
Degree sought
Major(s) - listed on ____________________________
Degree Compliance Report (DCR)
Major 1
Major 2
If your program requires non-course requirements (will be listed on your DCR) please list the requirements still to be completed and the
anticipated date of completion in the below table. Please reference your DCR in order to verify which non-course requirements have not
been marked as "met".
NON-COURSE REQUIREMENTS
ANTICIPATED
DATE OF COMPLETION
Proposed completion term of all program requirements (e.g. internship, clinical hours, culminating activity):
Select One
Year
Does your program require a thesis or dissertation?
If yes, please list the title
Yes
No
●
Please list the proposed date for completion of thesis or dissertation
Proposed date of defense
Page 3
University Records
PROGRAM 2 INFORMATION (if applicable)
Major(s) - listed on ____________________________
Degree Compliance Report (DCR)
Major 1
Major 2
If your program requires non-course requirements (will be listed on your DCR) please list the requirements still to be completed and the
anticipated date of completion in the below table. Please reference your DCR in order to verify which non-course requirements have not
been marked as "met".
ANTICIPATED
DATE OF COMPLETION
NON-COURSE REQUIREMENTS
Graduation Petition
(continued)
(for graduate and professional programs)
Please list the projected coursework for the TWO-FINAL QUARTERS: (Reminder for summer completion: If you plan to
complete your program in summer quarter and are eligible to participate in the prior spring quarter graduation, please list projected
coursework for winter, spring, and summer quarters, as this form needs to be submitted by November 1, as shown on the table on page 1.)
To show how your degree requirements will be met by the proposed completion term please list in corresponding tables:
1. Courses with "IP" grades from previous terms
2. Currently registered courses
3. Future planned courses
Every student is responsible to check ahead of time for______________ conflicts. For projected summer courses be sure to
check with the department to ensure course availability and timing.
course schedule
-Select One-
Degree sought
Does your program require a thesis or dissertation?
If yes, please list the title
Yes
No
●
Please list the proposed date for completion of thesis or dissertation
Proposed date of defense
Program 1
Program 1
Program 1
Program 1
Program 1
Program 1
Program 1
Program 1
COURSE ID
(e.g. AHCJ 595)
COURSE TITLE
UNITS
PROGRAM
Please Note: If only petitioning to graduate from one program, you do not need to adjust the program column. If you are taking a
course that does not apply to the program listed on this graduation petition please select "neither" in the program column.
TABLE 1: In Progress (IP) Courses
Program 1
Program 1
Program 1
Program 1
Program 1
Program 1
Program 1
Program 1
COURSE TITLE
UNITS
PROGRAM
TABLE 2: Currently Registered Courses
COURSE ID
(e.g. AHCJ 595)
Page 4
University Records
Graduation Petition
(continued)
(for graduate and professional programs)
PROGRAM = program course completes a requirement for program 1, program 2, or both.
Graduation Petition
(continued)
(for graduate and professional programs)
University Records
TABLE 3: Projected Courses to be Taken in
COURSE ID
(e.g. AHCJ 595)
Program 1
Program 1
Program 1
Program 1
Program 1
Program 1
COURSE TITLE
UNITS
COURSE TITLE
UNITS
TABLE 4: Projected Courses to be Taken in
COURSE ID
(e.g. AHCJ 595)
Select One
Select One
PROGRAM
Program 1
Program 1
Program 1
Program 1
Program 1
Program 1
PROGRAM
Page 5
Please fill out a table for the summer term if you are a student graduating in summer term but are eligible to participate in the spring ceremony.
TABLE 5: Projected Courses to be Taken in
Select One
COURSE ID
(e.g. AHCJ 595)
COURSE TITLE
Program 1
Program 1
Program 1
Program 1
Program 1
Program 1
UNITS
PROGRAM
(Year)
(Year)
(Year)
Page 6
University Records
Graduation Petition
(continued)
(for graduate and professional programs)
SIGNATURES
STUDENT:
By signing I understand that any changes to or deviation from the above information will generally require a new Graduation Petition
and/or may delay my graduation date.
PROGRAM 1 ADVISOR: (Please save and attach the student's DCR to this petition - * please reference instructions on the
next page.)
By signing I have received the student's DCR and verify that the above projected plan of study fulfills the remaining degree requirements
and may be achieved within the proposed timeframe.
MAJOR 1 ADVISOR:
Printed Name:
Printed Name:
Printed Name:
MAJOR 2 ADVISOR:
Program GPA
Major 1 GPA
Major 2 GPA
Date:
Date:
Date:
Signature (written signatures only)
Signature
Signature
PROGRAM DIRECTOR: (If required by School)
By signing I have received the student's DCR and verify that the above information is correct and all published graduation requirements
have or will be met as proposed in this petition.
PROGRAM DIRECTOR 1:
Printed Name:
PROGRAM DIRECTOR 2:
Printed Name:
Date:
Date:
PROGRAM 2 ADVISOR: (Please print and attach the student's DCR to this petition - * please reference instructions
below.)
By signing I have received the student's DCR and verify that the above projected plan of study fulfills the remaining degree requirements
and may be achieved within the proposed timeframe.
Program GPA
MAJOR 1 ADVISOR:
Printed Name:
Major 1 GPA
MAJOR 2 ADVISOR:
Printed Name:
Printed Name:
Major 2 GPA
Page 7
Graduation Petition
(continued)
(for graduate and professional programs)
University Records
* Attaching DCR instructions
(Go to Student Services main page at http://www.llu.edu/students/ and then click on "Student Services Login". After logging in click on
"Faculty Menu" then "View Degree Compliance Report". Save a copy of the report and attach it to this Graduation Petition.
N/A per School (Signature Required)
Date:
Date:
Signature
Signature
Signature
Signature
Signature
DEPARTMENT CHAIR: (If required by School)
By signing I affirm all appropriate signatures have been obtained and I have reviewed the student's DCR. I also affirm that the above
information is correct and all published graduation requirements have or will be met as proposed in this petition.
N/A per School (Signature Required)
DEPARTMENT CHAIR 1:
DEPARTMENT CHAIR 2:
Page 8
Graduation Petition
(continued)
(for graduate and professional programs)
University Records
DEAN'S OFFICE USE ONLY:
By signing I affirm all appropriate signatures have been obtained and I have reviewed the student's DCR. I also affirm that the above
information is correct and all published graduation requirements have or will be met as proposed in this petition.
N/A per School (Signature Required)
DEAN/ASSOCIATE DEAN 1:
DEAN/ASSOCIATE DEAN OF THE FACULTY OF GRADUATE STUDIES: (Required for FGS Programs)
Instructions to Students
When all the signatures have been obtained, please submit this Graduation Petition to your Dean's Office. Your Dean is responsible for
obtaining a Faculty of Graduation Studies (FGS) signature, when appropriate, and turning in the final forms to University Records
according to the degree clearance procedure submission dates.
Date:
Date:
Received Date:
Printed Name:
Printed Name:
Date:
Date:
Printed Name:
Printed Name:
Signature
Signature
Signature
Signature
Signature
Signature
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Graduation Petition For Graduate And Professional Programs (Loma Linda University)

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Completed 23 July 2020

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