Southwestern Allied Health Sciences School
Application for Candidacy to Graduate

Full Name:
( PRINT)
________________________________________________________________
last name

first name

middle name
Student ID Number: _______________________
Academic Program: ________________________

 

I hereby apply for candidacy to graduate at the conclusion of the ________________________
term of enrollment.
Semester/Term
Year

Although varying requirements of the programs may result in different completion times, degrees are conferred at the end of each semester/term. The commencement ceremony is only held once each year -- normally the third weekend of August following the conclusion of the summer semester/term.

Each candidate to graduate will be charged a $55.00 graduation fee in the semester/term of anticipated graduation. This fee is designated to partially offset the costs associated with diploma and diploma cover production, regalia and the commencement ceremony. All students completing a degree or certification must pay the fee without regard to whether they attend the commencement ceremony or not.

Each anticipated graduate will receive a Diploma/Cap & Gown order form from the Office of the Registrar. The form must be completed and returned by the indicated deadline to assure the correct printing of your name on your diploma and proper sizing of regalia. Nicknames or names substantially differing from your official name of record at UT Southwestern are not permitted for diploma production.

Student Signature: ________________________ Date: _________________
 
New Mailing Address: _______________________________________________________________
 
__________________________
________________
__________________________
_____________
Faculty Advisor
Date
Registrar's Office
Date

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