PhD SP/21 Intent to Graduate

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The Office of Student Affairs is responsible for providing you with important information about graduation, ordering diplomas, planning the ceremony and all of the final details to celebrate your accomplishments. We will need the following information to facilitate the process.

Please complete this form when you are anticipating graduation. For Spring 2021 Graduation, please complete it by January 15, 2021.

PhD Graduates, if you have any questions, please contact Fredonia Thompson (fthompson@gtu.edu, 510-649-2461).

If you have completed this form for a prior semester, but did not graduate, please complete a new form.

The Name on my diploma should read as follows

Last Name

First Name

Student ID Number

Degree Program:

School of Affiliation (GTU is not a school of affiliation)

Would you like your school of affiliation to be listed on your diploma? (JST affiliates cannot have their school listed on the diploma)

Yes

Clear selection

Area of Study

Anticipated Semester of Graduation

Mailing Address: Street (where we will send correspondence and diplomas - keep us informed of changes)

Mailing Address: City, State, Zip Code

Daytime Phone (keep us informed of changes)

Preferred email address (where we will correspond with you about commencement related questions - keep us informed of changes)

Dissertation Coordinator and School:

Coordinator's Email

Submit

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