UNIVERSITY OF HAWAI‘I AT MĀNOA
GRADUATE APPLICATION FOR DEGREE
PLEASE PRINT CLEARLY
Name ________________________________________________________________________________UH Number -______ _______
Family/Last First Middle
Phone: ____________________________________ Email: ____________________________________@hawaii.edu
Name (first middle last ) in upper/lower case as it will appear on your diploma. Titles are to be excluded. Limit to 45 characters.
Important: Acceptable names will be determined by your name on record with the University. Check MyUH to see current name on record.
DATE OF EXPECTED GRADUATION: [ ] FALL [ ] SPRING [ ] SUMMER YEAR: __________
(A-thesis)
Degree: Program: ________________________________ (B- nonthesis) Specialization: ________________________
(M.Ed., M.S., Ph. D, etc) (Accounting, Botany, etc) (C-exams) (EECB, CMNS, MB)
Hometown:
(Los Angeles, California; Lihue, Kauai; Seoul, Korea, etc)
Your name and hometown will be printed in the commencement program. Please initial ____ if you have requested non-disclosure and would like to have your name appear in
the commencement program.
For summer applicants, indicate the commencement program in which you wish to have your name printed: SPRING FALL (circle one only)
Important (for Summer applicants only): If you have requested to have your name printed in the Spring Commencement Program and your application is received after the
deadline for printing the Spring Commencement program, your name will appear in the Fall program.
Previous degree earned:
1
st
Degree ________________ Year Awarded_________ University _______________________________________________________
(B.A., B.S., B.ED., etc.)
2
nd
Degree________________ Year Awarded_________ University _______________________________________________________
(M.A., M.S., M. Ed., etc.)
3
nd
Degree________________ Year Awarded_________ University _______________________________________________________
(M.A., M.S., M. Ed., Ph.D., etc.)
1. This application must be completed no later than three weeks after instruction begins during the semester of graduation and no later than
June 1
st
for the Summer Session. Submit form to Graduate Student Services, 2540 Maile Way, Spalding 353, Honolulu, HI 96822 or fax
to 808-956-4261.
2. The fee for processing your graduation application is $30.00 for each advanced degree (Masters and Doctoral).
3. The following fees will be posted to your account within 30 days upon submission of your petition to graduate. Cash or check payment
may be submitted to the Manoa Cashier’s Office, QLCSS 105 or by credit card online through STAR. Do not submit payment with this
form.
4. Any changes on this form should be reported immediately to the Graduate Student Services by emailing gradss@hawaii.edu.
5. Diplomas will be available for pick-up ten weeks after graduation at the Registrar’s Office, QLCSS Room 010.
Student Signature: ____________________________________________________________________ Date:______________________________________
REQUEST TO MAIL DIPLOMA
(COMPLETE THIS SECTION ONLY IF DIPLOMA IS TO BE MAILED)
Contact the Registrar’s Office, QLCSS 010 (808-956-8010)to update mailing address for diploma.
PLEASE PRINT CLEARLY
NAME:
MAILING ADDRESS:
__________________________________________________________________
__________________________________________________________________
Important: Address information provided will be used solely for the
purpose of mailing your diploma. You may update your mailing address
online on MyUH. You may also submit a written request to the
Registrar’s Office to update your mailing and/or permanent address.
__________________________________________________________________
__________________________________________________________________
__________________________________________________________________
College SAS Use Only ____ ___ ____
MGD Use Only
Banner Term: _______________________ SHADEGR: _______ Fee (BODF) _______
SHADIPL: Name _______ Hometown ________ Mailing Address________
Inactivate/Update next SGASTDN: ________________________
___ ___
User: _____________________
Rev 09/11
