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SIUC Graduate School Application

This document is a graduation application for Southern Illinois University Carbondale's graduate school. It requests the student's name, degree and major, intended graduation semester, address for diploma mailing, and signature. The student must submit the application by the second week deadline of the semester they plan to graduate. There is a $25 graduation fee, and the student may only attend the ceremony in the semester they officially graduate. The major professor must also sign to confirm the student's dissertation/thesis/paper will be completed on time.

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179 views1 page

SIUC Graduate School Application

This document is a graduation application for Southern Illinois University Carbondale's graduate school. It requests the student's name, degree and major, intended graduation semester, address for diploma mailing, and signature. The student must submit the application by the second week deadline of the semester they plan to graduate. There is a $25 graduation fee, and the student may only attend the ceremony in the semester they officially graduate. The major professor must also sign to confirm the student's dissertation/thesis/paper will be completed on time.

Uploaded by

eroe12
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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GRADUATION APPLICATION

SOUTHERN ILLINOIS UNIVERSITY CARBONDALE


GRADUATE SCHOOL

Please read the attached Instruction Sheet for Applying for Graduation before completing this Graduation Application.
The completed Graduation application is to be returned to the Graduate School. A $25 graduation fee will appear on
a future Bursar Statement. The deadline to return the Graduation application to the Graduate School is Friday of the Second
Week of the Semester in which you plan to complete the degree requirements.

If you are in a Concurrent Degree program and are receiving two degrees, please complete two separate Graduation Applications.

Do you plan to attend the ceremony on the Carbondale campus? Yes No


(Graduate students may not attend commencement prior to degree completion.)

YOU MAY ONLY ATTEND THE CEREMONY IN THE SEMESTER IN WHICH YOU ARE OFFICALLY
GRADUATING. ATTENDING A FUTURE CEREMONY IS NOT ALLOWED.

Name exactly as you wish for it to appear on your diploma: If different from your name on SIUC records, you must process a name
change through the Office of Admissions and Records. Woody Hall A 103.

Please note: Internationals – you MUST list your first name/given name and last name/family name as it
appears on your passport.
_____________________ _________________ _______________________________________
First Name / Given Name Middle Name Last Name / Family Name / Surname

Dawg Tag__________________________

Degree Sought: Major:

If you are receiving a double major indicate the second major here:

Semester/Year you plan to graduate: May August December

Address to use for the mailing of your diploma: Is this address different than your
Street: permanent / home address?
City: Yes No
State and Zip:
Special Needs Assistance ________________

E-Mail Address:
(Commencement related information will be sent via E-Mail. It is important that you provide us with a current and
valid E-Mail address in order to receive this information.)

Student’s Signature: Date: / /

THIS SECTION MUST BE COMPLETED FOR APPLICATION TO BE PROCESSED


(Section not required for BME/ME, MBA, MACC, MAT, MLS, MPH, MSPA, MSW, ART, MDOS,
Masters/ CURRICULUM AND INSTRUCTION and Masters/MATHEMATICS AND SCIENCE EDUCATION)

I expect this student will complete:


The Dissertation/Thesis/Research paper by the Graduate School deadlines for the semester in which the
student is applying.
This student is in a non-paper option.
Major Professor Signature:

For Office Use Only


SPAIDEN SHADEGR SGASTDN DB F

Valid through 09-03-10

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