APPLICATION FOR DEGREE
On Campus Programs
College of Graduate and Continuing Education
The University of Scranton

It is essential that you submit this form to the Graduate Office when you register for your final term.

SECURE DATA TRANSMISSION

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

In the space below, please print your name as you wish it to appear on your diploma
and in the commencement program.

First Name
Middle Name
Last Name

Please provide a PHONETIC spelling of your name.
(Example: "Murli Rajan"=Mer-lee Rah-jon)

First Name
Middle Name
Last Name

Please provide your current address:

Street:
City:
State: Zip Code:
Country:
Contact Phone Number (number where we can most likely reach you during the day):
Country Code (if applicable): - () -
E-Mail Address:

Degree Information:

MA
MBA
MHA
MS
MSN
CAGS
PMC
DPT
Program and/or Specialization:





Height (required for DPT students only; ex. 5ft 10in):
Thesis
Non-Thesis

I expect to complete all degree requirements:

TERM:

YEAR:


All graduates are encouraged to attend commencement. Graduation fees are the same whether or not you attend. The Graduate Office should be notified if you will not attend.

I    WILL ATTEND MAY COMMENCEMENT EXERCISES.
WILL NOT

If you wish to notify an employer of completion of degree, give name and address below.

Name:

Street:

City:

State:

Zip Code:

Country:

E-Mail Address:

If you are planning to move within the next year, please provide the name and address of someone who will know your correct address. This is especially important for international students.

Name:

Street:

City:

State:

Zip Code:

Country:

E-Mail Address:

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

10/2006