UPDATE
APPLICATION FOR DEGREE
LSUID#: _____________________________ GRADUATION DATE: ____________________
DIPLOMA INFORMATION:
(Type or print the name you want to appear on your diploma using upper/lower case letters.)
___________________________________ ___________________________________ ___________________________________
(First Name) (Middle Name) (Last Name)
_________________________ _________________________ _________________________ _________________________
(Hometown) (Hometown State) (Louisiana Parish) (Country)
By signing below, I acknowledge that I understand that the above typed or printed name will appear on my
diploma.
Signed: ____________________________________________________________ Date: ________________________
_____________________________ _____________________________ _____________________________
(Day Phone) (Evening Phone) (E-Mail Address)
DEGREE INFORMATION:
__________________________________________________ _________________________________________________
(Degree Title) (Granted by College of)
__________________________________________________ _________________________________________________
(Major) (Minor)
DIPLOMA DISTRIBUTION CEREMONY:
You must
indicate if you will attend or not attend the diploma distribution ceremony. Please check the one
that applies to you.
_____ I will be attending
the diploma distribution ceremony.
_____ I will not be attending
the diploma ceremony and will pick up by diploma in room 112
Thomas Boyd Hall on the Monday following commencement.
_____ I will not be attending
the diploma ceremony and would like my diploma mailed to the
address listed below. (Diplomas will be mail
ed out approximately two weeks after
commencement.)
:
