Departmental Check Out Sheet printable pdf download

Departmental Check Out Sheet

All masters and doctoral degree students are required to submit this sheet to the Student Advising Office, 1120

M.E., after all degree requirements are complete. (This includes students completing residual work subsequent

to degree completion or in transition to the doctorate.)

Student ___________________________

Degree____________________________

(Please Print)

(If M.S. indicate plan A, B or C)

I.D. _____________________________

I attest that, to the best of my knowledge, I have returned all books, papers, equipment, etc. belonging to the

Dept. or its personnel.

Student _______________________________________

Advisor _______________________________________

Payroll –1103 ME

___________________________________________

Margaux Lassegard

Department Office –1100 ME

___________________________________________

(Keys, access card)

Heidi Hovde

Graduate Program Coordinator-1120 ME ___________________________________________

John Gardner

E-mail Address _________________________

Professional Position taken

__________________________________________________________

Address

____________________________

_____________________________

Departmental Check Out Sheet