First Name:

Last Name:

ID:

Semester: Fall Spring Summer

Year:

Degree (The same degree you indicated on the application. ): Master of Art (M.A. ) Master of Fine Art (M.F.A. ) Master of Science (M.S. ) Master's (M) Master of Education (M.Ed. ) Doctor of Education (Ed.D. ) Doctor of Philosophy (Ph.D. )

I have read the following important information regarding the withdrawal of my Application for Advanced Degree

I understand that by removing my name from the current graduation list that I must re-apply to graduate by submitting a new Application for Advanced Degree.

I understand that when I re-apply to graduate at a later date, I will be re-assessed the $20 graduation/processing fee.