You may type directly on this form if you wish.
This form should be submitted by the
deadlines posted by the College of Graduate Studies and
Research.
NameSS# or
Tech ID
(Print name as you want it to appear on
your Diploma) Mailing AddressCityStateZip
Telephone #
email
Year and term of graduation: Summer 20
Fall 20
Spring 20
Major
Thesis
Alternate Plan Paper
Other
MA
MS
Specialist
MFA
MPA 6th Yr Crt
MM
MAT
Thesis Title:
___________________________________________________________
Student's
Signature
Date
List required courses for your program (please
print or type ) Department
Course #
# of credits Course
Title Indicate if transfer credit
Total Credits for Degree
(excluding deficiencies):
1.___________________________________________________________________2._______________________________________________________________
Advisor/Chair of
Committee
Date
2nd Committee
Member
Date
3.___________________________________________________________________4._______________________________________________________________
3rd Committee
Member
Date
Dept. Graduate Coordinator
Date For Graduate Office Use
_________________________________________________ ________________
Graduate
College
Dean
Date