Revised October 2001
GRADUATION CHECKOUT FORM
This check-out form, degree plan, transcript, and any other pertinent documentation must
be attached to the copy of the Graduation Application.
ADVISOR REVIEW
Based on my review of the attached degree plan, transcript, and/or other pertinent
documentation, I hereby confirm that by the end of the _______________ semester,
_____________________________ will have met program requirements to graduate with the
______________________ degree/certificate.
__________________________________
Advisor Signature
__________________
Date
DIVISION CHAIR CONCURRENCE
I have reviewed the above student’s degree plan, transcript, and/or other pertinent
documentation and thereby concur with the advisor’s recommendation.
__________________________________
Division Chair Signature
__________________
Date
COORDINATOR OF ADMISSIONS & RECORDS REVIEW
Based on the recommendations above and my review of all pertinent documentation,
State of Alabama laws, Department of Postsecondary policy, accreditation standards, and
institutional policy, I certify that ______________________
is eligible to earn the
_____________________ degree/certificate at the end of the ___________ Semester _________
.
__________________________________
Coordinator of Admissions & Records
Signature
__________________
Date
_____________
Final Cum. GPA
APPROVAL OF DEAN OF INSTRUCTION
The above named student is approved for graduation.
__________________________________
Dean of Instruction Signature
__________________
Date
OFFICE USE ONLY
Date Degree Earned:_____________
Honors:_______________________
Comments: ____________________________________________________________