Office of the Registrar Scranton, Pennsylvania 18510-4684 (570) 941-7720
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:
*Home (Permanent) Address: (your mailing address after graduation)
Street:
City:
State:
Zip Code:
Home Phone Number:( ) -
*Local Address:
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 31, 2009 , 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. No diplomas from any graduation date will be released until May 31, although transcripts will note the actual date of degree completion (August 31, December 31, January 31, or May 31).
I am a student enrolled through:
Programs:
I am applying for the degree of:
*First Major:
Second Major:
First Minor:
Second Minor:
Concentration:
Please provide a PHONETIC spelling of your name.
NOTE: By submitting this form, you are essentially attaching your signature.
Rev. 1/02
(61529)
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