this form / APPLICATION for UNDERGRADUATE GRADUATION in ENGINEERING & TECHNOLOGY
TYPE YOUR NAME AS IT SHOULD APPEAR ON YOUR DIPLOMA: / EXPECTED GRADUATION (Sem/Yr): / 1st SEM / YR ENROLLED:
STUDENT ID NUMBER: / DEGREE:
FIRST / MIDDLE / LAST
MAJOR: / MINOR: / CONCENTRATION:
MAILING ADDRESS:
CONTACT INFORMATION: / AAMU
PHONE (home) / ALTERNATE (cell, work) / EMAIL
TO BE COMPLETED BY THE ACADEMIC ADVISOR: Has the student . . . / C O M M E N T S :
· REMOVED ALL INCOMPLETE GRADES / YES / NO
· AN OVERALL AVERAGE OF 2.0 / YES / NO
· HAS A GRADE OF “C” OR BETTER IN MAJOR
COURSES, IF APPLICABLEaHasHH / YES / NO
· COMPLETED MONSTER TRACK FORM / YES / NO
· TAKEN THE EXIT EXAMINATION, IF
APPLICABLE (FE for Civil Engineering Students) / YES / NO
TO BE COMPLETED BY THE STUDENT: COURSES NEEDED TO COMPLETE REQUIREMENTS FOR THE DESIRED DEGREE:
Sem/Yr: / Sem/Yr: / Sem/Yr:Crs/No / Title / Crs/No / Title / Crs/No / Title / IF THE STUDENT ENROLLED AS:
VISITING STUDENT
TRANSFER STUDENT
TRANSIENT STUDENT
ENTER NAME OF INSTITUTION:
With the exception of the courses currently enrolled, and/or future courses to be taken , the above-named student has completed all academic requirements as prescribed in the bulletin, as well as changes that have been made to the program
Print or Type Name / Print or Type Name / Print or Type Name / Print or Type Name
Date of Signature / Date of Signature / Date of Signature / Date of Signature
PLEASE NOTE: If you do not graduate in the semester you have applied, a NEW Senior Record Check Packet must be submitted.
REVISED 02/2008