1
Office of Graduate Studies
Application for Graduation
Tech ID
Type your name as you want it to appear on your diploma
House/apt. number and street name
City State Zip
Telephone
Spring
Required Student Signature Date
Note: List only the courses that will apply toward your program on the second page of this form.
Approvals
ALL Applications for Graduation require department signatures before being submitted to the Office of Graduate Studies. The degree
level or the type of capstone determines the number of signatures required.
a. Masters students with a graduate committee Signatures on lines 1 AND 2 are required along with the
signatures of all other committee members.
b. Certificate Programs Signatures on lines 1 AND/OR 2 are required.
c. Masters students without a graduate committee Signatures on lines 1 AND 2 are required.
Submit to the Graduate Studies Office only after all required signatures are obtained.
1.
Advisor/Chair of Committee Signature
(Print Name)
Date
2.
Department Graduate Program Coordinator Signature (Print Name)
Date
3.
Committee Member Signature
(Print Name)
Date
4.
Committee Member Signature
(Print Name)
Date
Name
*If different from mailing address*
City
State Zip
( )
-
Fall
Summer
Email
Term of Graduation (check one)
Degree and/or Certificate
Capstone
Degree/Certificate Type and Program
If applicable, please note the IRB or IACUC approval #:
Year
Office of Graduate Studies
Mailing Address
Diploma Address
Note: Your diploma will be mailed to this address. If your diploma address changes, update it online or contact the College of Graduate Studies with the change.
INTERNATIONAL SHIPMENTS: If you require your diploma to be mailed outside of the United States, you must create an account through eShipGlobal and select
"Registrar's Office" as the contact. eShipGlobal site: https://study.eshipglobal.com/
Thesis APP Other
2
Tech ID
Please list only the courses that apply toward your degree program requirements.
Program Courses
Dept. and Course No.
Course Title Credits
*T= transfer courses (maximum 10 for the masterʼs degree – consult Graduate Bulletin for more information)
Total Credits for the Degree
Submit the completed form to:
Office of Graduate Studies
115 Alumni Foundation Center
OR via email: grad@mnsu.edu
*THIS PORTION FOR OFFICE OF GRAD STUDIES USE ONLY*
1.
Graduate Degree Analyst Signature
Date
2.
Dean, Graduate Studies Signature
Date
Office of Graduate Studies
A member of the Minnesota State Colleges and Universities System and an Affirmative Action/Equal
Opportunity University.
This document is available in alternative format to individuals with disabilities by calling the
Office of Graduate Studies at 507-389-2321 (V), 800-627-3529 or 711 (MRS/TTY).
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