First Name(s): Last Name:
Student Number: A Email:
Graduation correspondence will be done by mail, email, or phone using information provided by you on Self Service
Banner. Please ensure your contact information is up to date on Self Service Banner.
Applying for: Spring (May)
Program(s) (e.g. Bachelor of Arts):
Parchment Information – Please Print (Name as it will appear on your parchment)
First Name Middle Name or Initial Last Name
Graduation Programme Information (as it will appear in graduation programme)
(Canada & US only)
Terms Of Graduation Application (please initial):
I understand that I will not be able to graduate if I have an overdue account balance.
understand if I withdraw my application or if this application is not approved I must re-apply for a
future graduation ceremony.
I will submit an application to “Graduate in Absentia” in addition to this form, no later than 30 days
before the ceremony, if I am not attending the graduation ceremony.
By signing, I agree to the above terms of this Graduation Application:
Student Signature: Date:
You can email this form to the Service Centre at email@example.com.
Date Received: SHADEGR Updated: Initials:
Spring – October 1
Fall – June 1