Return this form to the Office of the Registrar 633 Clark St. Evanston, IL 60208
PETITION TO GRADUATE
Winter
Spring
Summer
Year: __________
Student Signature: ____________________________________________________________________
Date: ______________________
First Name Middle Name Last Name
Student ID Number
I plan to graduate in:
Fall
Please use reverse side of this form for adviser-approved substitutions, waivers, or related course approvals.
Major: ___________________________________________________________________
______
Concentration (if applicable): _________________________________________________
Adviser Name:____________________________________ Adviser Signature: __________________________________ Date: __________
Additional Majors/Minors/Certificates
*Dual Bachelor's Degree Students must submit a separate petition for each school.
Page 1
with a Bachelor of:
Northwestern Email Address
The name below will appear on your diploma exactly as written – please print clearly.
School:
Suffix
Are you dropping any Majors/Minors/Certificates?
If so, please list them here:
I am also a Dual Bachelor's Degree* student in
the School of: ___________________________
Major Minor Certificate: __________________________________________________________ Requirement year: __________
Concentration (if applicable): ____________________________________________________
Adviser Name:_______________________________ Adviser Signature: _______________________________ Date: __________
Major Minor Certificate: _________________________________________________________ Requirement year: ___________
Concentration (if applicable): ____________________________________________________
Adviser Name:_______________________________ Adviser Signature: _______________________________ Date: __________
Please confirm your degree progress and requirements using the Degree Progress Report in CAESAR
Requirement year (what's this?): ____________
Return this form to the Office of the Registrar 633 Clar
k St. Evanston, IL 60208
For College or School-level Requirements (this section not for Weinberg students):
Adviser Approvals:
Page 2
PETITION TO GRADUATE - Adviser Approvals
For Major/Minor/Certificate:_____________________________________________________________
Adviser Approvals:
For Major/Minor/Certificate:_____________________________________________________________
Adviser Approvals:
For Major/Minor/Certificate:_____________________________________________________________
Adviser Approvals:
The name below will appear on your diploma exactly as written – please print clearly.
First Name Middle Name Last Name
Suffix
Student ID Number
Adviser Initials:_________
Adviser Initials:_________
Adviser Initials:_________
Adviser Initials:_________
Please indicate substitutions, waivers, and related course approvals to be made to the Degree Progress Report in CAESAR.
*Please also include any necessary major or minor worksheets.