Request to Change Graduation Date

Fields marked with * are required.

Current Expected Graduation Date
New Expected Graduation Date
(Write a brief statement explaining your request)

By submitting this request, I acknowledge that I am requesting a change to my expected graduation date and it is my responsibility to discuss any financial implication with the undergraduate financial aid office or my graduate field. If delaying graduation, I understand that continued funding is not guaranteed.

Student Signature:  ________________________________________   Date: _________________

Advisor OR Graduate Field Assistant Approval: _____________________   Date: _________________

Office Use Only

Date Received: ___________________

Office Approval (please initial): ________


Copy sent to Student       Copy sent to Grad Field
Recorded in PeopleSoft   Recorded in FileMaker
Scanned to ESR  

Date Processed: ___________________

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