Graduation Cancellation Form Enrollment Services Name:___________________________________ Term: [ ] Fall: _____ [ ] Spring: _____ [ ] Summer:_____ Panther ID: Reason for cancellation: ____________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ___________________________________________________________________ ____________________________ Student Signature _______________ Date *Please note that this form is only used to cancel your graduation application for a specific term. If you intend on graduating during a later term, you are responsible for reapplying for graduation for that term, during the dates that the application is available. *Please return this form in person at the Modesto Maidique Campus (University Park) to PC 130 or fax it to the Graduation Office at (305)348-2941. The form could also be returned to the Biscayne Bay campus to AC1 100 or faxed to the Graduation Office at (305)919-5403. Graduation@fiu.edu. For Office Use Only Processed by:___________________________ Office Check-off Steps: CANC EXGT Term Activation:________________ Enrollment Appointment Date:______________