Application for Graduation | Stillman College

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Application for Graduation

Department Information

Location:

Batchelor Hall – Office 201
Stillman College
3601 Stillman Blvd.
Tuscaloosa, AL 35401

Office Hours:

Monday – Friday
9:00am – 5:00pm

Contact:

Phone: 205-349-4240 ext. 8815
Email: registrar@stillman.edu

Application for Graduation

Revised: 05/14/18
Please complete this fillable pdf, print it, obtain the necessary signatures, and return to the Department Chair for your major. Handwritten applications will not be accepted.

"*" indicates required fields

Name*

First Last

CWID Number*

Your name exactly as it should appear on diploma and program*

Your hometown and state as it should appear on the program*

Local Mailing Address:*

Street Address City State / Province / Region ZIP / Postal Code Country

Permanent Home Address:*

Street Address City State / Province / Region ZIP / Postal Code Country

Telephone Number:*

Email*

Major(s):*

Minor(s):

First Year at Stillman*

I affirm that the following requirements have been met (or are being met as indicated):

1. General Education Courses.

Requirement met

Requirement will be met

Sophomore Proficiency Examination.

Requirement met

Requirement will be met

3. GPA of 2.0 or higher for Arts and Sciences and Business Administration majors with a minimum grade of “C” in courses counting toward the major, as well as cognate courses. General education courses in English must be completed with a grade of “C”.

Requirement met

Requirement will be met

4. Overall GPA of 2.0 or higher (GPA of 2.5 or higher in the case of a major in Elementary Education or other majors leading toward teacher certification).

Requirement met

Requirement will be met

5. Senior Departmental Exam.

Requirement met

Requirement will be met

6. Senior Thesis.

Requirement met

Requirement will be met

7. All other departmental requirements (Including:)

Requirement met

Requirement will be met

8. Senior Survey Completed.

Requirement met

Requirement will be met

Pursuant to the “Family Education Rights and Privacy Act” of 1974 and the Stillman College policy governing the release of information on students, I hereby authorize the release the contents of this form to my parents/guardians.*

Date*

MM slash DD slash YYYY

Do you plan to participate in the commencement ceremony?*

Yes

No

To insure proper fitting of commencement regalia (cap and gown), please complete the following. Height: Weight:

A graduation fee of $150.00 is due in the Business Office at least one month prior to graduation.

I certify that the above information is true and accurate to the best of my knowledge:*

Student’s Signature

Date

MM slash DD slash YYYY

Advisor’s Signature

Date

MM slash DD slash YYYY

Department Chairperson Signature

Date

MM slash DD slash YYYY

Name

This field is for validation purposes and should be left unchanged.

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Tuscaloosa, AL 35401

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