Application for Graduation

Concord University

 

Return application to: Concord University, Office of the Registrar, PO Box 1000, Campus Box D-118, Athens, WV 24712-1000 Phone: 1-304-384-5236 or 5237 Fax: 1-304-384-5349 Email: registrar@concord.edu

 

Note: The name on your diploma will appear as you have it listed below

 

Name _________________________________________________________________________

First Middle (full or initial)                         Last

 

Social Security #/ID #________________________________________

 

Home Address __________________________________________________________________

 

Campus Address _________________________E-mail Address___________________________

 

Home Phone _____________________ Campus Phone ____________________

 

**********                **********                **********                **********                **********                **********                  **********

I hereby make application for graduation on ________________________________        

                                                                                    (Specify date of graduation)

 

I am a candidate for the following degree(s):

____     Associate of Arts in Office Supervision

____     Bachelor of Arts (List Major(s) Below)

____     Bachelor of Arts in Communication Arts (List Concentration(s) Below)

____     *Bachelor of Arts in Interdisciplinary Studies (List Disciplines Below)

____     Bachelor of Science (List Major(s) Below)

____     Bachelor of Science in Athletic Training

____     Bachelor of Science in Business Administration (List Major(s) Below)

____     Bachelor of Science in Computer Information Systems

____     Bachelor of Science in Education (List Teaching Field(s) and Grade Levels Below)

____     Bachelor of Science in Environmental Geosciences

____     Bachelor of Science in Medical Technology

____     Bachelor of Science in Recreation and Tourism Management (List Area of Emphasis Below)

____     Bachelor of Social Work

____     *Bachelor of Science in Interdisciplinary Studies (List Disciplines Below)

____     Regents Bachelor of Arts

 

*BA/BS in Interdisciplinary Studies requires approval of appropriate committee and Vice President/Academic Dean. The approved Program of Study must be on file in the Registrar’s Office to be official. Students may obtain the form from the Vice President/Academic Dean’s Office to apply for the BA/BS in Interdisciplinary Studies.

 

Major (1)_______________________ (2)___________________________ (3)_____________________

 

Teaching Field/Grade Levels (1)_____________________________(2)____________________________

 

Area of Emphasis (1)__________________________ (2)________________________________

 

Concentration (1)____________________________ (2)________________________________

 

Discipline (1)____________________________ (2)________________________________

 

Minor (1)_______________________ (2)_________________________ (3)_______________________

 

 

**********                **********                **********                **********                **********                **********                  **********

Complete all forms, pay fee at Business Office, contact Bookstore for cap/gown information, and return all attached forms to the Registrar’s Office. You will receive a Graduation Audit within 3 to 4 weeks. Upon receipt of this audit, please check it carefully and contact the Registrar’s Office if you have questions.

 

Business Office Receipt Number__________________________ University Bookstore Approval_____________