REQUEST TO DELAY GRADUATION Student Name: Student ID: 850 Reason for delay: Medical Financial Family Other (explain) I hereby request that my graduation be delayed until Fall Spring of 20 . I will give my thesis reading in Fall Spring of 20 . I understand that this request to delay graduation may necessitate changes to my thesis committee. If I am currently employed by the Department of Creative Writing as a Graduate Teaching Assistant or in any other CRW departmentally-funded position, I understand that the original term of my employment and/or funding may not be extended into the additional semester. Student Signature: Date: Thesis Director’s Signature: Date: Office Use Only Signature: __________________________________________________ Date: _____________ Graduate Coordinator Signature: __________________________________________________ Date: _____________ Department Chair Notification of Graduate School Date: _____________