CAMERON UNIVERSITY
Application for Graduation
Graduate Program
For Official Use Only
Name ____________________________________________________ ID _________________
_____ Master of Business Administration
_____ Master of Education
_____ Master of Education in Reading
_____ MS Entrepreneurial Studies
_____ MS Educational Leadership
_____ MS Behavioral Sciences
_____ MS Organizational Leadership
___ Psych ___Counseling ___M&F
All requirements for this degree, including outcome assessment, comps, portfolio, or thesis will
be completed by:
DEC/MAY/JULY _____________
Grad Fee Paid ______
Date _______________
Audit ______________
GPA _______________
Honors ____________
Mailed _____________
Print your name as you wish it to appear on your diploma
Name _____________________________________________________________________Phone _____________________
Local Address ________________________________________________________________________________________
address
city/state/zip
Diploma Address _________________________________________________________Home Town _________________
address
city/state/zip
City & State (or Country)
Will you be attending the hooding ceremony? _____YES _____NO
Do you authorize the release of your student directory information? _____YES _____NO
If you select NO, your name will NOT be printed in the CU commencement program or the newspaper.
(Directory Information includes name, address, telephone number, ee-mail address, date of birth, place of
birth, current enrollment status, dates of attendance, dates of graduation, degrees and awards received.)
Signature _________________________________________________________
Date ___________________