Graduation Petition

Petition to Graduate

Date:*

MonthDayYear

Printed Name (Full Legal Name; as it should appear on diploma)*

Full Name *

First NameMiddle NameLast NameSuffix

Ladies - If you are planning to get married, what is the date?

MonthDayYear

Anticipated Month of Graduation*

Anticipated Year of Graduation*

Academic Advisor*

Degree*

Program of Study*

Proficiency/Teaching Field

Home town (City, State)*

Are you planning to participate in commencement?*

YesNo

Please fill out the following information:

Height*

Weight*

Hat Size*

Are you a veteran of the armed forces?*

YesNo

Please list your branch of service.*

Statement:

Federal regulations limit funding to courses required for your degree. A copy of this petition will be filed in the Financaial Aid Office and will be used to validate schedules for financial aid programs.

Hours completed at the end of this semester:

Hours Remaining to complete degree (based on courses needed to complete degree):

Note: You must successfully complete the minimum required hours for your degree, as well as the required courses in your degree plan.

Diploma will be ordered based on the information provided in this form. Any error requiring a diploma replacement will be an additional charge to the student.