Application for Undergraduate Degree

Please complete all sections that apply, obtain required signatures, pay fee, and return to the
Office of the Registrar.

Please circle the degree you are seeking:      BA       BS        BM      BSW    BSN     Second Degree

Please indicate the year you intend to graduate: ____________     Spring          Winter                  Summer*
*Student completing requirements in the summer will be conferred during the Winter Commencement.

Print Name __________________________________________________________    UID# _______________________

                  (Your name will appear on your diploma as it does in our student information system records.)

Diploma Mailing Address ______________________________________ Phone ____________________

City _________________________ State ______________ Zip ____________ Cell Number ____________________

Country __________________ is your diploma mailing Address your permanent address     Yes____ No ____

Catalog Year ________ Indicate Major __________________   Indicate Double Major ______________________

Concentration ________________________     Minor _________________________________________

Are you seeking certification?  Yes ____ No ____  Email Address ___________________________________

I understand that any changes I make to the above information must be communicated to the Registrar in person or in writing as soon as possible. Failure to do so may affect graduation status.

Signature of Applicant

Required Signatures

Major Advisor _____________________________________________________ Date ________________

Minor Advisor _____________________________________________________ Date ________________

Cashier’s _______________________          Receipt Number ___________________      Date ________________

Director of Library Services _________________________________________ Date ________________

Director of Career Services ____________________________ ______________             Date ________________

Campus Police _____________________ ____________ ________       Date ________________

Return this form to the Office of the Registrar before the deadline to avoid late fee. Late applications are subject to a $25 late fee. March 1st is the deadline for Winter Commencement and October 1st is the deadline for Spring/Summer Commencement.