Request to Graduate for Grad Students
• Semester Graduating
Summer (would attend Demember graduation ceremony)
Fall (December)
Spring (May)
• Year Graduating
• Name as it is to appear on the diploma
• Student ID Number
• Degree Receiving
** Master of Arts [1]
** Master of Business Administration [2]
** Master of Church Music [3]
Master of Science - Counseling (Professional)
Master of Science - Counseling (School)
** Master of Science in Education [1]
Master of Science in Student Personnel Administration
** Master of Science in Nursing [4]
Master of Occupational Therapy
Master of Science in Rehabilitative Science
Doctor of Physical Therapy (Entry Level)
Doctor of Physical Therapy (Transitional Level)

**If Degree Receiving has a reference number, please fill in the next field
[1] Major | [2] Concentration | [3] Major Emphasis | [4] Major Option
Specified in
• Attending the Graduation Ceremony
Yes
No
Mail diploma to
• Name
• Address
• City
• State
• Zip Code
Email
Phone
 
Upon completion of all course work, please notify your program director/advisor to initiate the process of posting graduation and ordering diploma certificate.
 
Visit the Graduation Information page for ordering cap and gown and for additional graduation ceremony information.
Please print this page for your records before submitting (recommended). If you are having difficulties submitting this form, please download the form.
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• Required Fields