Grand Valley State University - Application for Graduate Diploma
Please submit your completed application to the Registrar’s
Office prior to the semester you intend to graduate.
Date submitted:
Student G#:
Contact Phone # :
Contact Email Address:
Please enter (or print) your legal name on the line below. This is how it will appear on your diploma: (i.e., first,
middle, last):
Type of Degree:
DNP ___
MHA ___
MSA ___
Major: _____________________________________
DPT ___
MHS ___
MSE ___ ______________________________________
EDS ___
MPA ___
MSN ___
Emphasis area(s): ____________________________
MA ___
MPAS ___
MST ___ ____________________________
MBA ___
MED ___
MS ___
Other ___
If you would like to apply for certification, please go to the
Michigan Online Education Certification System at
Advisor's Name:
Please select the term and year your degree requirements will be complete:
Fall __ YEAR _________ Winter __ YEAR _________ Spring/Summer __ YEAR_________
*If you would like to walk in a commencement ceremony for a term other than the degree completion term,
please contact the Registrar's Office for instructions on how to apply to walk early/late.
Permanent Mailing Address: NOTE: Your diploma will be mailed to your Permanent Address.
Apt #: _______________________
city, state, zip: _________________________________________________________________________________
Local Mailing Address:
address: _______________________________________________________
Apt #:_______________________
city, state, zip:_________________________________________________________________________________
Have you previously applied for
Yes __ No ___
If you apply on time your name will be printed in commencement materials
and/or released to hometown papers.
If "Yes" Semester/Year?
I want to have my name printed: Yes __ No __
I want my information released to my hometown paper: Yes __ No ___
Email your completed application to Completed applications may also be returned in person to
the Student Assistance Center in Allendale (150 Student Services) or at the Grand Rapids Pew Campus (115C
DeVos), by fax to (616) 331-2000, or by mail to the Registrar's Office, 150 Student Services, Allendale, MI 49401.