Dean`s Verification of Matriculation Form

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DEAN’S VERIFICATION OF MATRICULATION
This form must be completed by students applying for graduate assistantships or
administrative assistantships in departments/offices where contracts are not prepared
by the
academic Dean of their graduate program. The signature of the Academic Dean,
verifying
matriculation, GPA and test scores, is required in order for employment and financial aid
papers to be transmitted to the requisite offices by the Office of the Provost. This form
should be submitted to the Office of the Provost and contract signed by the Supervisor.
PART I: TO BE COMPLETED BY STUDENT
Name:
Social Security Number:
College/School:
Academic Department:
Degree:
Field:
Date of Matriculation:
Department/Office in which Assistantship is sought:
____________________________________________ _________________________
Student's Signature
Date
PART II: TO BE COMPLETED BY ACADEMIC DEAN
I certify that this student has been accepted for matriculation in the graduate program
indicated above.
GPA
GRE/GMAT Scores
/
/
____________________________________________ _________________________
Dean's Signature
Date
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