Intent to Graduate
Student Information
Name:
Student ID #: Phone #:
Email:
Address:
Street City State Zip
Degree Information
Expected Date of Completion:
March May July/August October December Year:
Degree:
Major(s)
Concentration:
Minor
(if Applicable):
Attending May Commencement? Yes No
Agreement/Approval
Student Signature Date
Advisor Signature (CBASE)
CH. Teacher Education Signature
(if Applicable)
Requirements Met Conferral Date Freeze Audit
Award Letter Sent Degree Posted IG
Prob Letter Sent Honors (if app) Final Approval
Revised: March 15, 2018
I understand that:
• My degree will not be posted to my academic record until all coursework has been reviewed and validated by the Registrar's Office
• I must submit a a new Intent to Graduate Form if all degree requirements are not met by the indicated expected date of completion
I have attached a copy of my FalconMap Audit
Submit to the Registrar's Office at least 60 days prior to the expected date of graduation.
Please print your name exactly as it will appear on the diploma
Please use the address to which the diploma will be sent
Office Use Only
Note: A Separate Intent to Graduate Form must be submitted for a second degree.
Please list any courses you are currently taking at another institution or plan to take over the summer:
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