Return to: by Zh5R69fh

VIEWS: 4 PAGES: 1

									                              Buffalo State College Graduate School – State University of New York
                          Graduation Application
              Master’s Degree or Certificate of Advanced Study
                                        (Multidisciplinary Studies – Use Other Form)

Complete Section A ONLY and return to:                                                         Application Deadline Dates
The Graduate School, Cleveland Hall 204                                             May Graduation        February 1st
1300 Elmwood Avenue, Buffalo, NY 14222                                              August Graduation     February 1st to be included in May
                                                                                                             Commencement Program
or fax to 716-878-5630                                                                                 or June 1st (actual deadline)
Questions: 716-878-3007                                                             December Graduation October 1st

SECTION A                                            Please print or type to ensure accuracy.
Name:
             Last                                                         First                          Middle             Other Name


Print name as to appear on diploma:
You must submit Name Change Form and copy of marriage certificate, divorce decree or other legal documentation if different from name in official college records.




Address:
                  Street                                                                City                                    State              Zip Code


Banner Number:               B                                                       Telephone Number:                     (      )

E-mail Address:

Please indicate the graduation term to which you are applying:                              Please check the degree to which you are applying:
         May 201                                                                                 Master of Arts
         August 201                                                                              Master of Science
         December 201                                                                            Master of Science in Education
                                                                                                 Master of Public Administration
                                                                                                 Graduate Certificate
                                                                                                 Certificate of Advanced Study

  SECTION B
     Department Evaluation and Approval for Master’s Degree or Certificate of Advanced Study
                    FOR OFFICIAL USE ONLY - GRADUATE SCHOOL WILL SEND TO DEPARTMENT FOR APPROVAL

       APPROVED subject to successful completion of courses being taken.
       
     NOT APPROVED
  Comments: __________________________________________________________________________
  ____________________________________________________________________________________

  Department/Coordinator Signature _____________________________________ Date ______________

  GRADUATE OFFICE USE ONLY                                                                Program/Major Code __________________________

  Approved: _______________                   Not Approved: ____________               Reason: _______________________________________


                                                                                                                     Revised August 2012

								
To top