STUDENT INFORMATION
Name:
Banner ID #:
Note: Only your full legal name as it appears at the time of application on the Banner System can be printed on your diploma.
To change your full legal name, contact the Office of the Registrar.
Hometown: State:
Mailing Address:
Telephone: Bulldog E-mail (Mandatory):
Graduation Term:
Fall Spring Summer
Year:
Academic College:
Department:
Capstone Document:
Action Research Report Dissertation Master’s Report Thesis
Degree (Check One):
MBA MEd MEng MS MSW MURP EdS PhD
Program Major:
Are you completing an academic specialization/concentration?
Yes No
If yes, provide the name of the specialization/concentration:
Name of Previous Institution which granted last awarded degree:
Undergraduate/Graduate Degree:
BA BS
Other (Specify):
APPLICANT’S SIGNATURE
I have read the contents of this Application for Graduation and state that the information supplied herein is correct. I understand that
if I do not meet the requirements, my application for the above-indicated graduation date will be withdrawn, and my name will be
deleted from the commencement program.
APPLICATION FOR GRADUATION
It is the responsibility of each graduate student to file his/her intent to graduate by the published deadline for the semester in which
he/she hopes to graduate by submitting the Application for Graduation. No student will graduate without submitting a typed
Application for Graduation. This application is valid for the current term only. Candidates who do not meet all requirements by the
published deadline designated on the Graduate Calendar Deadlines-at-a-Glance document for the current term must reapply by
submitting a new application prior to the submission dates for a subsequent graduation term. The Bursar will automatically bill a
graduation fee to your Banner account. A NON-REFUNDABLE graduation fee is applicable for each semester/term for which a
graduation application is submitted. Attendance at Commencement Exercises is mandatory unless an official written excuse is obtained
from the Provost/Vice President for Academic Affairs. Please check your “Bulldog” e-mail for any communication from the Office of
Graduate Studies regarding this application.
Registration is required to be considered for graduation. If a student has completed all
course work for intended degree, as an option one can register for the administrative course, GS 699, Continuing Registration for
Graduate Studies to meet the requirement. A final Program of Study must be submitted with the Application for Graduation in the Office
of Graduate Studies and must reflect catalog for admit term and completed or in-progress coursework with grades.
Complete and submit a complete package by the deadline to the Office of Graduate Studies, Patton Hall Room 213.
Education, Humanities, and Behavioral Sciences
SW, Psychology and Counseling
Counseling Psychology (CIP Code #42.0601)
click to sign
signature
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