REQUEST TO DELAY GRADUATION Student Name: Student ID:

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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: _____________
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