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Undergraduate Application for Degree

SECURE DATA TRANSMISSION

*Royal ID (omit the "R" when entering):

Please enter your FULL NAME* below as you wish it to appear on your diploma:
First Name: 
 Middle Name: 
Last Name: 

*Home (Permanent) Address: (your mailing address after graduation)

Street:

City:

State:

Zip Code:

Home Phone Number:( )  - 

*Local Address:

Street:

City:

State:

Zip Code:

Local Phone Number:( )  - 

E-Mail Address: 

I expect to complete my requirements by:

MONTH:

YEAR:

Students who complete degree requirements on any of the above four graduation dates may normally attend the commencement exercises held on May 26, 2013 , as long as they did not participate in the prior year's exercises. Students are encouraged to attend, and should notify the Registrar's Office in writing should they not be able to attend. The graduation fee is the same whether or not the student participates in the commencement exercises.  The four possible graduation dates are August 31, December 31, January 31, or May 26.

I  WILL ATTEND COMMENCEMENT EXERCISES.
WILL NOT

I am a student enrolled through:

Programs:
 College of Arts & Sciences  S.J.L.A. Program
 Kania School of Management  Honors Program
 Panuska College of Professional Studies  Business Leadership Program
 College of Graduate and Continuing Education

I am applying for the degree of:
 BA  BS  Associate

*First Major:

Second Major:
         

First Minor:

Second Minor:
         

Concentration:


Please provide a PHONETIC spelling of your name.
First Name: 
 Middle Name: 
Last Name: 

My name will be included in the list of graduates that the University's News/Public Relations Office will release to local and hometown newspapers.

I agree I do not agree

If I choose to participate in the Commencement Ceremony in May, my name will be read by the dean onstage.

I agree I do not agree

NOTE: By submitting this form, you are essentially attaching your signature.

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