For Official Use ONLY
Date Diploma is ordered:
Campbell University Application for Graduation
Extended Campus Education
Name:
Student ID:
Rank:
Service:
I hereby submit this Application for Graduation and request that an order be placed for a Diploma for the
Degree of:
□Associate in Arts, General Education
□Bachelor of Science, Information Security
□Associate in Arts, Business Administration
□Bachelor of Science, Information Technology Management
□Bachelor of Applied Science
□Bachelor of Science, Psychology
□Bachelor of Health Science
□Bachelor of Science, Social Science, History
□Bachelor of Arts in Criminal Justice
□Bachelor of Science, Social Science, Political Science
□Bachelor of Business Administration, BADM
□Bachelor of Science, Social Science, Criminal Justice
□Bachelor of Business Administration, ACCT
□Bachelor of Science, Social Science, Homeland Security
with a Minor in (applies to Bachelor’s degrees ONLY):
to be awarded to me in □August □December □May □June* (*graduation ceremony held at Camp Lejeune) Year:
I wish to have my name printed EXACTLY this way on the Diploma: (Please Print Clearly)
Do you plan on participating in the graduation ceremony? □ Yes
□ No
Address for mailing information concerning audit or graduation rehearsal or other pertinent information in
connection with my graduation:
(Address)
(City)
(Email)
(State)
(Zip)
(Phone)
Address I want printed in Graduation Program:
(City and State ONLY please)
The address where I want my Diploma to be mailed in case I do not carry it with me on the date of my
graduation or I choose not to attend graduation is: (If there is a balance due on your account in the Business Office, we will
not be allowed to mail your diploma)
(Route, Street, PO Box)
(City)
(State)
(Zip)
not
graduate
onabove
the above
date I understand
I must
reapply for graduation.
IfIfI Idodo
not
graduate
on the
date I understand
that I mustthat
reapply
for graduation.
Date:
Signature:
Date:
Signature:
In order for your family to receive an invitation to the President’s Reception, the President’s Office needs the
names and addresses of:
Your Spouse:
Your Parents:
Please mail signed application to Campbell University at your home campus address.
Fort Bragg/Pope AFB Campus
PO Box 70659
Ft. Bragg, NC 28307
RTP Campus
808 Aviation Parkway
Suite 1100
Morrisville, NC 27560
Camp Lejeune Campus
PO Box 8666
Camp Lejeune, NC 28547
Campbell University Extended Campus
Graduate Survey
Extended Campus Site: _____________
Graduation Year: ___________
Graduation Month: ___________
Major: ___________
Minor: ___________
Dear Student,
It is our goal at Campbell University’s Extended Campuses to serve our students to the utmost of
our abilities. We understand how important your academic endeavors are to you and hope that
we have met your academic and professional needs.
In an effort to improve our programs and services, please take the time to complete this graduate
survey. Your feedback is crucial to our continued service to our students.
Thank you,
Extended Campus Staff
University Academics
Very
Satisfied
Satisfied
Dissatisfied
Very
Dissatisfied
Quality of teaching in your major
Accessibility of faculty in your major
Faculty concern for your professional development
Faculty concern for your academic development
Availability of classes in your major
Quality of academic advising in your major
Overall adequacy of space and/or facilities for classes in
your major
Overall experience in your major
Overall preparation for employment
Overall satisfaction with your major
Has a particular faculty member had a strong influence on you? ___Yes ___No
Name of faculty member: _____________________________
Please explain:
Please estimate how helpful your Campbell University Extended Campus experience was in
contributing to your knowledge, skills, and personal development in the following areas:
Very
Somewhat A little
Not
Helpful
Helpful Helpful
Helpful
Thinking critically and analytically
Speaking clearly and effectively
Writing clearly and effectively
Reading for content and analysis
Analyzing quantitative problems
Applying scientific knowledge and skills
Developing creativity
Using information research skills
Acquiring a broad general education
Developing leadership skills
Learning effectively on your own
What would improve your overall Campbell experience?
University Services
Very
Satisfied
Satisfied
Dissatisfied
Very
Dissatisfied
Your overall Campbell experience
Overall quality of your interaction with faculty
Overall quality of your interaction with staff
Overall quality and availability of academic
counselors
Overall quality and availability of student services
(e.g. registration, grade reports, admissions)
Overall quality and availability of the business office
(e.g. bookstore, student accounts)
Overall access and quality of Campbell main campus
services (e.g. financial aid, registrar, library)
What would you consider the major strengths of Campbell University Extended Campus?
__Small Class Size
__Majors Available
__Professors/Instructors
__Technology
__Attendance Policy
__Variety of Class Format (Online, Classroom, Blended)
__8-Week Term Schedule
__Other Strengths: _____________________
What would you consider the major weaknesses of Campbell University Extended Campus?
__Small Class Size
__Majors Available
__Professors/Instructors
__Technology
__Attendance Policy
__Variety of Class Format (Online, Classroom, Blended)
__8-Week Term Schedule
__Other Weaknesses: ___________________
Has any one person or group influenced you during your time here at Campbell University Extended
Campus? (For example advisors, staff person, administrative official, office/department)?
Who: ____________________________
Please explain:
Would you attend Campbell’s Extended Campus if you had to choose a college again? ___Yes ___No
Please explain:
As you leave Campbell, what advice would you offer to new students so they might get the most out of
their collegiate experience?
Employment
What are your plans after graduation?
How has your Campbell Extended Campus experience prepared you for what is ahead?
Are you employed? ___ Yes ___No
How satisfied are you with this position?
___Very Satisfied ___ Satisfied ___Dissatisfied ___Very Dissatisfied
Is this position related to your major? ___Yes ___No
If your position is not related to your major, are you still planning to obtain a position related to your
major? ___Yes ___ No
Have you/will you be eligible for a promotion because of your degree? ___Yes ___No
How well do you feel Campbell prepared you for your chosen field?