Statewide Location NORTHERN ARIZONA UNIVERSITY Receipt #:
OFFICE OF THE REGISTRAR

Undergraduate Application for Graduation

CATALOG OF GRADUATION: - CONTACT PHONE NUMBER:

FULL NAME
                                   (As it will appear on diploma: first, middle, last)                                                                                            NAU ID#

PERMANENT ADDRESS
(This is where your diploma
will be mailed)

DEGREE :( BA, BS etc.) BACHELOR OF TERM OF GRADUATION , 20

                        DUAL DEGREE:   YES OR NO (IF YES, COMPLETE AN ADDITIONAL GRADUATION APPLICATION)
MAJOR/PLAN ( )        ADVISER            PHONE
                                                                    Code
2nd Major        ( )        ADVISER           PHONE
                                                                    Code
MINOR                   ADVISER           PHONE

EMPHASIS CERTIFICATE

LIST COURSES IN PROGRESS OR TO BE COMPLETED BELOW: ADDITIONAL CERTIFICATES:
(IF YES,COMPLETE CERTIFICATE APPLICATION)

College/Univ Name	Subject and Catalog	Unit Hours	Term and Year	*

* If Applicable, Specify I, IP, R, or C:
*I = Incomplete from previous terms
*IP = In-Progress from NAU transcripts
*R = Repeat of previous course
*C = Minimum grade of "C" required
(Courses being taken by audit are not counted in GPA or total hours.)
**SPECIFY ANY PENDING PETITIONS/WAIVERS
If Requirements Met check boxes: (advisor use only)
Liberal Studies Requirements
Min 30 hrs Upper Div/36 BAiLS
Min. 18 Upper Div. NAU hrs.
Min. 30 NAU hrs.

Total hours completed, (NAU and transfer) Current NAU Cum. GPA
Remaining hours in progress or to be completed:
Student will graduate with: ____Total of (1)and(2)
Total hours required for degree: (120+) or Post Bacc (30+)

VERIFICATION SIGNATURES: By signing, we certify that upon successful completion of the above listed courses, the student’s degree requirements will be satisfied.

STUDENT’S SIGNATURE _________________________________________________ DATE

MAJOR ADVISER’S                                              DEPT. CHAIR’S                                                  DEAN’S
SIGN/DATE ____________________________     SIGN. _____________________________      SIGN. __________________________

MAJOR ADVISER’S                                              DEPT. CHAIR’S                                                  DEAN’S
SIGN/DATE ____________________________     SIGN. _____________________________      SIGN. __________________________

MINOR ADVISER’S                                               MINOR/CERTIFICATE ADVISER'S                        HONORS ADVISER’S
SIGN/DATE ____________________________     SIGN/DATE_________________________          SIGN/DATE______________________
____________________________________________________________________________________________
REGISTRAR OFFICE USE ONLY
Name/Address: __________           Date: ___________             Data Gapr: _________            Date: ________          Grade/GPA: __________              Date: ___________
Degree Post: ___________             Date: ___________             Mailing: ____________           Date: ________          QC: _________________               Date: ___________