MINNESOTA STATE UNIVERSITY, MANKATO
College of Graduate Studies and Research

REQUEST FOR EXTENSION OF TIME TO COMPLETE THE DEGREE

This form is for requesting an extension of time to complete graduate program requirements.

Date  Name   TECH ID

Address

Phone#   email

Major Degree 

REASON FOR REQUEST       

SEMESTER YOU PLAN TO GRADUATE:    Fall 200 Spring 200 Summer 200
   
ADVISOR'S RECOMMENDATION:   approve   not approve

 _____________________________________________________________________________
Advisor's Signature                  On-Campus Address                                                   Date
**************************************************************************************

Extension approved through           Not Approved

Comments:_________________________________________________________________

____________________________________________________

Graduate Dean                                                      Date

Minnesota State University, Mankato is an Affirmative Action/Equal Opportunity University.  This document is available in alternative format to individuals with disabilities by calling the College of Graduate Studies and Research at (507) 389-2321 (V) or (800) 627-3529 (MRS/TTY).

REVISED    02/2007