Intent to Graduation revised 4-17 NAME(First Middle Last) OTHER NAME STUDENT ID No DOB SCHOOL DEGREE PROGRAM VISA STATUS MM/DD/YYYY □MALE □FEMALE / / CITY STATE ZIP STREET CELL PHONE HOME PHONE E-MAIL Admission / / Fall Winter □ □ Day Spring Summer □ □ Commencement Day Scheduled: / / Preparation : Ceremony : I plan to attend the Ceremony Yes No Number of Expected Attendees from Family & Friends: □ □ Title of Degree: Major: Concentration: Other Graduation Requirements Thesis Project Recital Others Not Applicable □ □ □ □ □ Date of (Expected)Completion: / / Date of (Expected)Graduation: / / Direction after Graduation Work School Other: □ □ □ Name of Work or School: NOTE TO THE STUDENT: Diploma will be sent out upon completion of the entire requirement. If not, the school will not be able to confer the degree. Confirmation may include but is not limited to checking all the student file documents, tuition payment, fee and etc. The process may take up to six months after the graduation. / / / / _ Student’s Signature Date Dean Date MM/DD/YYYY MM/DD/YYYY NOTE TO THE OFFICERS: The student named above has applied for official graduation from the University. Upon completion of the graduation process in your department, please sign, and date this form. : Director of International Student Office Date Director of Financial Aid(financial Date (F1 Student only) Aid Student only) Registrar Date OFFICE USE ONLY: Notice Date: / / □ APPROVED □ DENIED Officer:
Intent to Graduation revised 4-17 NAME(First Middle Last) OTHER NAME STUDENT ID No □MALE □FEMALE DOB MM/DD/YYYY / / SCHOOL DEGREE PROGRAM VISA STATUS STREET CITY STATE ZIP CELL PHONE HOME PHONE E-MAIL Admission Day / / □ Fall □ Winter □ Spring □ Summer Commencement Day Scheduled: / / Preparation : Ceremony : I plan to attend the Ceremony □ Yes □ No Number of Expected Attendees from Family & Friends: Title of Degree: Major: Concentration: Other Graduation Requirements □ Thesis □ Project □ Recital □ Others □ Not Applicable Date of (Expected)Completion: / / Date of (Expected)Graduation: / / Direction after Graduation □ Work □ School □ Other: Name of Work or School: NOTE TO THE STUDENT: Diploma will be sent out upon completion of the entire requirement. If not, the school will not be able to confer the degree. Confirmation may include but is not limited to checking all the student file documents, tuition payment, fee and etc. The process may take up to six months after the graduation. / / / / _ Student’s Signature Date MM/DD/YYYY Dean Date MM/DD/YYYY NOTE TO THE OFFICERS: The student named above has applied for official graduation from the University. Upon completion of the graduation process in your department, please sign, and date this form. : Director of International Student Office (F1 Student only) Date Director of Financial Aid(financial Aid Student only) Date Registrar Date OFFICE USE ONLY: □ APPROVED □ DENIED Notice Date: / / Officer: