Undergraduate Student Application for Degree for Spring 2023@ $75 late fee 
* Undergraduate students only:  

Fee & Submission Deadline:  *For late fee effective after date see Calendar: https://www.alcorn.edu/newsevents/calendar

ONLY include your "students.alcorn.edu" e-mail  address immediately below as you will get a copy of your submitted application.  You should inform your advisor/send a copy of the e-mail to your advisor/chair for your and their records.  

NOTE:  1)  Visit your Alcorn e-mail where a copy of this application will be in your inbox.    2) Please send a copy of your application for degree to your advisor and department chairperson.   3)  Note: A $75 charge will be affixed if you apply after the application deadline.  4)  Once your fee is posted to your account, the Office of Student Records will place your name in the go.alcorn.edu graduation audit queue.  Go and see your advisor to ensure your are enrolled in courses needed for your degree.

/s/Office of Student Records Staff


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Email *
The Office of Student Records
MY ALCORN DEGREE
I hereby make application for the following "undergraduate" degree: ________________(Ex: Bachelor of Arts).  I have spoken with my advisor who has approved that I should apply. Per Alcorn's policy on degree completion http://www.alcorn.edu/data/files/gallery/ContentGallery/Policy_on_Degree_Completion_10_19_2015.pdf, I affirm that per discussions with my advisor, I have met (or at the completion of this semester will have met) ALL mandatory requirements for my program degree requirements in my go.alcorn.edu degree plan.  Please state the degree for which you make application below:
Graduation Semester *
Which term/semester do you seek to graduate for your undergraduate degree?  
First Name *
Note: If your name is significantly different from the one on your academic profile, you need to submit a Name Change Affidavit, available at www.alcorn.edu/registrar/onlineforms
Middle Name *
Note: If your name is significantly different from the one on your academic profile, you need to submit a Name Change Affidavit, available at www.alcorn.edu/registrar/onlineforms
Last Name *
Note: If your name is significantly different from the one on your academic profile, you need to submit a Name Change Affidavit, available at www.alcorn.edu/registrar/onlineforms
Student A# *
Phone # *
In case we or your advisor/chair needs to reach you regarding your Application for degree
Cell # *
In case we or your advisor/chair needs to reach you regarding your Application for degree
Personal E-mail *
(gmail, yahoo, outlook, etc.)
Demographics
Age *
Please state your age
Date of Birth *
MM
/
DD
/
YYYY
Classification *
This application is only for "undergraduate" students or C2C students!
Are you a Veterans Affairs (VA) Student? *
Gender *
Race *
Immediate plans after graduation *
Home City *
Examples:  Vicksburg   or   Dallas  or    Jackson   or    Lorman
Home State *
Include state of where you are from
Home Zip Code *
Current address zip code.  Be sure to include your ZIP CODE
Current Full Address *
To be sure, write out your ENTIRE address --> Example:  123 Persistence Boulevard, Lorman, MS 39096.   Be sure to include your ZIP CODE
Address to mail Degree *
You will receive your diploma on the next business day after commencement.  Include address, city/town, Zip Code for mailing of your degree.
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