Intent to Graduate and Diploma Request

MassArt Graduate Programs

Intent to Graduate and Diploma Request Form

Your diploma is a legal document and must reflect your legal first and last names. The inclusion of middle names or middle initials is optional.

If you are in the process of legally changing your name, please wait to submit your diploma request until that process has been completed. At that time, you will wish to update your name change with the Registrar's Office and order your diploma.

Full Name as you wish to see it printed on your Diploma:

Diploma Name*

Name as you wish to see it printed In the Commencement Ceremony Program: We will use what we have on record if you do not complete this form.

Commencement Program Name*

Name and Expected Graduation Date on MassArt Records,

Contact Information for After Graduation,

and Mailing Address for Diploma

First Name*

Middle Name or Initial

Last or Family Name*

Suffix (Jr, Sr, III, etc...)

MassArt ID #*

Expected graduation date*

MassArt Program*

Email for after graduation - non-MassArt*

Phone number and type for after graduation*

Diploma Mailing Address 1 - for within 3 months

Please indicate the best place to mail your diploma after you have graduated. Diplomas are most often mailed approximately 3 months after the graduation date. If you plan to move, please provide a date that we will stop using this addess.

Diploma Mail Address 1*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Stop Mailing to Address 1: Date

Permanent AddressParent's AddressNew AddressOther

Diploma Mailing Address 2

If you plan to move around 3 months from graduation, so that your diploma should be mailed to a different address from the one above, please provide that address here. Also provide the date you would like us to begin using this new address.

Diploma Mail Address 2*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry

Start Mailing to Address 2: Date

Permanent AddressParent's AddressNew AddressOther

Graduation Announcement in Newspaper

Please provide the U.S. city, state and zipcode where you would like your graduation announcement to appear.

Newspaper City/State/Zip

Students must contact the Library, Audio Visual Services and the Business Office to be sure that they have no outstanding balances, books or equipment owed to the college. You may not receive a diploma or transcript if you have any outstanding obligations to MassArt.

I have carefully examined my program evaluation/transcript with my advisor and to the best of my knowledge I will meet all of my requirements as of the month specified below. In addition I expect to have no financial or library/AV obligations at that time.

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