Late 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 _____________           Major __________________________         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.