Rev 04/19
UNIVERSITY OF HAWAIÿI AT MÄNOA
APPLICATION FOR DEGREE / CERTIFICATE
Name ________________________________________________________________________________UH Number ________________
Family/Last First Middle
Phone: ____________________________________ Email (non-UH): __________________________________________
Name (first middle last) i
n 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. SAS – Name verified on STAR _______
Semester of Expected Graduation: Fall Spring Summer Year: __________
Degree Sought-Check One: BA BFA BS B ED BBA BMUS BSW PCERT
JD (Law) MD (Medicine)
Major: ____________________________________ School or College: ___________________ Minor (If Applicable) _________________________
(For B ED & PCERT, indicate your major as ELEMENTARY EDUCATION, SECONDARY EDUCATION or SPECIAL EDUCATION)
Your name 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 Fa
ll
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.
Student Signature: ________________________________________________________________________________ Date: _________________
• 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.
• Th
e fee for processing your graduation application is $30.00.
• Payment may be submitted to the Manoa Cashier’s Office (cash or check), QLC 105 or online through MyUH 7 to 10 days after submission of approved application.
• Any changes on this form should be reported immediately to Student Academic Services Office.
• Diplomas are scheduled to be available for pick-up ten weeks after graduation at the Office of the Registrar, QLC Room 010.
School or College Student Academic Services: ______________________________________________________________ Date: __________________
Print name and sign
COMPLETE THIS SECTION TO HAVE YOUR DIPLOMA MAILED
Foreign Air Mail requires special handling—See Office of the Registrar, QLC 010 (808-956-8010)
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 Office of the Registrar to update your mailing
and/or permanent address.
College SAS Use Only ___ __ ___ ___ ___
A&R Use Only
Banner Term:
_____________
SHADEGR: _____ Fee (BODF) ___ Thesis (BODT) ___
SHADIPL: Name ____
Mailing Address ______ GOAEMAL (othr): ___
Inactivate next SGASTDN: ____________________
Init./Date: _____________
College of Natural Sciences
