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Authorization! to !Participate !in !Commen cement! !
(For! Graduat e !Students !on !Plan! B:! Non-Thesis)!
Graduate Division /! 200! West Kawili St. Hilo, HI 96720-4091! /! COBE! Room 206 / Phone: (808) 932-7926!
For all graduate! students on Plan B (Non-Thesis)
Copy of form m
ust be submitted! with! the Petition! to! Graduate by the date specified! in! the Academic Calendar to! the Cashiers office
Original completed fo
rm must be submitted to the graduate division
SECTION I: Student Information
Name: UH! Use
rname: @hawaii.edu
Gra
duate Program:
I! am applying to
graduate in: Fall 20_____ Spring 20_____ Summer 20_____
Student Signature: Dat
e:
Primary Advisor Signature: ___________________________________________________! Date: _____________________________
Graduate Program Chair Signature: Date:
SUBMIT' COMP L
ETED FORM TO THE' GRADUATE' D IVISION
FOR! GRADUATE! DIVISION! OFFICE! USE! O NLY: SPACMNT STAR
Date: Initials:
Clear Form