Fillable Intgrad Undergraduate Intent To Graduate (Loma Linda University)

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Intgrad Undergraduate Intent To Graduate (Loma Linda University)

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University Records
Undergraduate Intent to Graduate
Student Information
Select One
Go
Personal Information
Undergraduate Intent to Graduate
If you have any questions please email registrar@llu.edu or call 909-558-4508
Select One
Student ID#
Name: Last
Middle
LLU School
Degree
Program of Study
Current Mailing Address
City
State
Zip
Country
Instructions: Completed form must be submitted two quarters prior to the expected graduation term. For example, Spring quarter
graduates must submit the form prior to the end of the Fall quarter. If all requirements are not completed by the end of the term
for which you have applied to graduate, a new form must be submitted for the new graduation term.
Indicate term & year in which you expect to complete all degree/certificate requirements:
Year
Degree
Major
Are you currently enrolled at LLU?
Yes
No
List the term you will complete your last course at LLU quarter and year:
List the last term of attendance quarter and year:
General Education Requirements:
I have not yet completed all GE requirements. (All transcripts must be submitted for GE requirements completed as of the date of this
form even if you plan to take another course at the same institution.) List missing requirements and your specific plans to complete
these by graduation.
General Education Requirements to be Completed
Requirement
College/University
Term to be Taken
I have completed all GE requirements and all transcripts have been received by University Records.
I have completed all GE requirements and have requested that the following colleges/universities send transcripts to University Records:
Select One
Term
Select One
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Year
Major Requirements to be Completed
University Records
Undergraduate Intent to Graduate
Prefix
Course Title
Term to be Taken
If you have any questions please email registrar@llu.edu or call 909-558-4508
I am enrolled in a block program (Students enrolled in block programs do not need to list major courses below)
My program is not a block program or I am off block. List remaining requirements and term in which each will be completed:
Note: Do not include courses below in which you are currently registered.
Number
Graduation Ceremony Participation:
Do you plan to participate in the next Spring graduation ceremony?
Yes
No
Required Signatures
University Records reviewed:
Accepted
Returned for revisions:
Select One
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Dean of School
Advisor
Student
Date:
Date:
Date:
Year
Date:
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Intgrad Undergraduate Intent To Graduate (Loma Linda University)

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Completed 23 July 2020

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