Undergraduate Student Graduation Application
All candidates for graduation must complete and submit this form during their last semester of classes to the Registrar Office. It must be received before the end of final
session in order to ensure that the name on the diploma is correct. The Home Location can be found on your portal under “view schedule.” Online student
applications MUST be faxed to 866-487-9582.
All U.S. student borrowers and borrowers who are residents of Alberta, Canada must complete exit loan counseling when they are graduating. Graduation
candidates must fulfill all financial obligations to DeVry at least 30 days before commencement and complete exit counseling. Failure to complete exit counseling
may result in a hold on students’ transcripts and diploma.
Student Information:
Name:
DSI #:
Current Address:
Home Location:
City:
State:
Zip:
Do you want your diploma mailed to you or would you like to pick it up at a location when ready? (Online students must have their diploma mailed.)
Mailed
Pick-up
If pick-up, what location?
Notify me of pick up by:
Home Phone
Day Phone
Email
If Mailing address is different from above, please enter below.
Diploma Address:
City:
Home Phone:
State:
Daytime Phone:
Zip:
Email:
PLEASE NOTE: If your address changes after submitting this form, immediately notify your Student Success Coach or Online Academic Advisor.
Degree Information - Select your program:
Accounting (associate)
Accounting (bachelor’s)
Biomedical Engineering Technology
Business Administration
Communications
Computer Engineering Technology
Computer Information Systems
Electronics & Computer Technology
Electronics Engineering Technology
Engineering Technology – Computers
Engineering Technology – Electronics
Game & Simulation Programming
Health Information Technology
Healthcare Administration
Justice Administration
Management
Multimedia Design & Development
Network & Communications Management
Network Systems Administration
Technical Management
Web Graphic Design
Clinical Laboratory Science (Phoenix ONLY)
Electroneurodiagnostic Technology (NJ Specific)
Specialization Information:
Successful completion of a specialization – including concentrations, majors, technical specialties and tracks – is noted on transcripts of students who declare such a
specialization. Enter the specialization you completed below (if applicable).
Important: Specializations are not shown on diplomas.
Specialization:
Graduation Information:
I plan to participate in the
graduation ceremony:
I will complete my last course(s) during the following Session/Year:
Check the appropriate Session:
July
September
Yes
November
January
March
May
No
Yes
No
If yes, when?
June
Enter Year of Completion:
I am a Veteran or currently serve in
the United States Armed Forces:
December (if offered)
Year:
I would like my name to appear
EXACTLY AS FOLLOWS on my diploma: (please PRINT clearly) :
Student Agreement and Signature:
I understand that to be certified for graduation, I must:
1.
2.
3.
4.
5.
Fulfill the graduation requirements for my specific program
Have a cumulative GPA of 2.00 or higher
Present official proof of graduation from a recognized high school or the equivalent or from an associate degree program or higher at a recognized institution of
higher education
Fulfill all financial obligations to the University
Complete exit loan counseling
Student Signature:
Date:
My signature serves as consent to the use of my name in the Commencement program and to being photographed during the event. I also understand that such
photographs may be used by DeVry, Inc. in marketing and promotional materials.
University Academics: Undergraduate Student Graduation Application
Version:
V.1.1
Supersedes:
V.1.0
Page 1 of 1
November 25, 2013
In New York, DeVry University operates as DeVry College of New York. ©2013 DeVry Educational Development Corp.