TTU College of Human Sciences
Statement of Intent to Graduate
**Complete all fields below. All fields are required for intent to be valid.**
Intent to Graduate Filing Information
___ This is the first time I have filed an intent to graduate
___ I am refiling my intent to graduate with a new graduation date
___ I am refiling my intent to graduate with updated information
Diploma Name: Please neatly print your name exactly as you want it to appear on your diploma
First:
Middle:
Last:
___________________________
___________________________
___________________________
Student ID Number: R#
E-mail Address: Must be @ttu.edu e-mail account
___________________________
__________________________________________________________
Date of Expected Graduation:
____December 2015
____May 2016
____August 2016
____December 2016
____May 2017
____August 2017
Major: Please write your College of Human Sciences major(s)
Phone Number: Please list current cell number
_________________________________________________
__________________________________
Minor: (If applicable, must be declared)
Concentrations:
_____________________________________
___________________________________________
Diploma Mailing Address:
Street: ______________________________________________
City, State, Zip ________________________________________
Signature: Sign to affirm all above information is accurate at time of submission
Date:
________________________________________________________
_____________________________
Required acknowledgements: First box must be checked if within 1 year from graduation date
I am filing my intent within 1 year of my graduation date
I have completed all required fields above
I DO NOT wish for my name to be used in the commencement program
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