THE COLLEGE OF ARTS AND SCIENCES - John Carroll University

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Contact Gail Gehring in the Assistant Dean's Office at 216-397-4210 ggehring@jcu.edu

Application for Graduation
(Complete all selections before submitting form)

Bachelor Degree Candidate

*Banner ID Number:

*Date:

The University conducts formal commencement exercises each year in May. Attendance at this exercise is optional. The information on this form is used in making plans for this ceremony. Carefully complete the form below and submit it to the Assistant Deans Office, College of Arts and Sciences

MY NAME SHOULD APPEAR ON MY DIPLOMA AS FOLLOWS:

*(First Middle Last )

AT COMMENCEMENT, PRONOUNCE MY NAME IN THE FOLLOWING WAY:
(Use the phonetic pronunciation.)

*LOCAL Address:

*City: *State: *Zip:

*Phone: Cell:

*Email Address:

*HOME Address:

*City: *State: Zip:

Country: *Phone:

*Bachelor of:

Arts Sciences Arts in Classics

*Degree conferred in: May August January *Year:

*Major #1:

Track or Sequence: (if any)

Major #2:

Track or Sequence: (if any)

Major #3:

Track or Sequence: (if any)

Minor #1:

Minor #2:

Minor #3:

Interdisciplinary Concentration (see Undergraduate Bulletin for listings):

*Comprehensive Exam or MFAT Required: Yes No

*Commencement Participation
I plan to participate in the MAY commencement exercises. Cap & gown information:	I do not plan to participate. Please mail my diploma to my HOME address.	I do not plan to participate and wish to pick up my diploma at the University.
Please fill out height and weight fields even if you don't plan to participate in commencement	*Height:	*Weight:

*SPECIAL NOTICE: The federal government requires that we keep statistics on the race/ethnic backgrounds of the recipients of degrees from John Carroll University. Please complete the following questions.

1. Do you consider yourself to be Hispanic/Latino

Yes, Hispanic or Latino

No, Not Hispanic or Latino

2. In addition, please select one or more of the following racial categories to describe yourself:

American Indian of Alaska Native (including Peoples of the Americas)

Asian (including Indian Subcontinent and Philippines)

Black or African American (including African and Caribbean)

Native Hawaiian or other Pacific Islander (Original Peoples)

White (including Middle Eastern)

*By checking this box, I confirm that the information above is complete and accurate and I understand that this form will be forwarded to the College of Arts and Sciences Office for processing.
Note: if this box is not checked, this form will not be forwarded.

John Carroll University, University Heights, OH 44118 | (216) 397-4284 | (888) 335-6800 (toll-free) | (216) 397-1835 (fax)