Degree Conferral Form

Degree Conferral Application

Your application for degree conferral will not be processed if all the information is not completed. Check your Degree Audit in Degree works. If you need adjustments, please contact your PACT mentor.

CWID (Student ID Number)*

NAME*

First Name

Last Name

NAME (Type your name as it should appear on your diploma.)*

Name (Type your name as it should appear on your diploma.)

Email*

Mailing Address (NO P.O. Box # accepted)*

Address Line 1

Address Line 2

City

State/Province

ZIP / Postal

Country

Mobile Phone or Home Phone*

Expected Degree Conferral*

August August Participating in May Commencement Request February May

Expected Degree Conferral Year*

Major*

Specialization

Minor

Application Processed in SHADEGR?

Yes (Complete) Duplicate Submission (Complete) Pending Further Review (Not Complete) Unable to Process (Complete)

Who has been contacted? Next steps?

Brief Rationale for Not Processing

Reviewed By

Reviewed On

Completed By

Completed On