Late Graduation Application Form
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1DEGREE
LATE GRADUATION APPLICATION
Required after the online application is no longer available.
This form cannot be used if the 6 week graduation grace period has elapsed.
A Retroactive Graduation Application form will be required.
LATE GRADUATION APPLICATION PROCESS
•
A separate diploma address MUST be entered via Patriot Web/Personal Information.
•
The Diploma Name must be verified via Patriot Web/Student Records/Expected Date of Graduation.
•
Since the online graduation application deadline was missed, the degree may be awarded later than others, receipt of the
diploma may be delayed and the student’s name may not appear in the Commencement/graduation brochure.
•
Special instruction for doctoral students: Late doctoral applicants must attach an approved Program of Study.
•
Complete Exit Survey
•
Students with an active graduation application will receive an email in their Masonlive account with a unique link to
Mason’s graduating student exit survey. More information is available through the
Office of Institutional
Assessment.
Graduation Term Requested:
___________________/________________
Semester
Year
Name: _________________________________________________________
G# ____________________________
Last
First
Day Phone: __________________________________________ Mason Email: __________________________________
Degree Program:
________________
_______________________________________
Degree
:
Major/Program:
(BS, BA, MS, MED, Phd etc.)
Secondary Components:
2nd Major:
________________________________
Concentration:_______________________
Minor:
________________________________
2nd Minor:
________________________
Certificate:
________________________________
_______________________________________________________
Date: __________________________________
Student Signature (Required)
Department Approval:
All requirements are met pending successful completion of in-progress work,
verified by review of the degree audit.
_______________________________________________________
___________________
Advisor Name and Signature
Date
_______________________________________________________
___________________
Chair Name and Signature
Date
_______________________________________________________
___________________
Minor Department Signature (if applicable)
Date
After approval signatures have been obtained, return this form to the Office of the University Registrar, Student Union Bldg 1, Room 2101 MS 3D1, Fax (703) 993-4668.
Degree Audit Review Area
4
6
3 GP
__________________________________________________________________________
Date: ______ Initials: ______
__________________________________________________________________________
Resolved
Date: ________
Initials: ________
10/15
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