Departmental Form for Reporting Intent to Graduate
To the Assistant to the Graduate Advisor, Department of Chemistry & Biochemistry:
I have consulted with my Research advisor and plan to complete my thesis/dissertation requirements to
graduate.
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May
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August
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December
Year
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I have also submitted my intent to graduate to the Graduate School.
I understand that I have to submit a separate intent to graduate to the Graduate School and will be
submitting my intent to graduate to them at the beginning of the above semester.
Print Student’s name
Student Signature
Complete this form the first of the semester of intent to graduate.
Please return completed form to the Chemistry Graduate Office, room 037.