PETITION TO PARTICIPATE IN GRADUATION CEREMONY PRIOR TO
COMPLETION, OR AFTER COMPLETION, OF DEGREE REQUIREMENTS
(must be within six credits in order to participate in ceremony prior to completion of degree requirements)
_____________________________________________________________________________________
PLEASE PRINT CLEARLY
Name: ___________________________________________________
PLEASE NOTE: Your name will NOT be printed in the commencement program in which you are requesting
permission to participate. It will only be printed in the program in which you have been tentatively approved for
graduation.
SU ID: ___________________ Email: ______________________________
Major(s):
______________________________ Current GPA: _______
Request Permission to Participate in _____________________ Ceremony
MONTH & YEAR
Will Complete, or Did Complete, Degree Requirements:________________
MONTH & YEAR
Reason for Request: _________________________________________
_________________________________________________________
_________________________________________________________
Courses and credits remaining: ______________________________________
_________________________________________________________
SIGNATURES REQUIRED
Student: _______________________________ Date: ______________
Dean: _________________________________ Date: ______________
College of Business - GRH 128, College of Arts & Sciences - DHC 225, College of Education and Human Services - SPH 356
Associate Provost: ________________________ Date: ______________
Old Main 308
Distribution 1: Student provides signed copy to appropriate academic Dean’s office.
Distribution 2: Dean’s office provides signed copy to Provost’s office.
Distribution 3: Provost’s office provides signed copy to Registrar’s office.
Revised: 3/12/15
