Part I - To be completed by the degree candidate online (typed). Please see instructions at the end of this form.
SECTION A
SPIRE ID #: ______________________
Name under which originally registered: _____________________________________________________
Name to appear on diploma _______________________________________________________________
Email Address: _________________________________________Phone: __________________________
Anticipated Award Date:
September
February
May
Year _______________
Advisor: ______________________________ Department: _____________________________________
EPRA _____________________ SD _____________________________ TECS ____________________
Note: Your diploma will be sent to the Mailing Address that is current in SPIRE at the time of mailing. Please ensure that
SPIRE always has your correct mailing address for proper delivery of your diploma.
SECTION B
Date Master’s received: ______________ College/University Master’s received from: _____________________________
Semester accepted into the Education Specialist degree program: _____________
SECTION C - IN CHRONOLOGICAL ORDER, LIST ONLY GRADUATE COURSES TO BE COUNTED
TOWARD THE EDUCATION SPECIALIST DEGREE
DEPARTMENT
COURSE
NO.
COURSE TITLE
SEMESTER &
YEAR TAKEN
CREDIT
Total Credits:
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GRADE
SECTION D - To be completed by the degree candidate
To the best of my knowledge, the information given on the reverse side of this form is correct and complete.
Signature of Candidate: ______________________________________________ Date: ______________
After signing this form, give it to the Graduate Program Coordinator in the Office of Academic Affairs, 123 Furcolo, for verification.
Part II - To be completed by the College of Education
To be completed by Linda L. Griffin, Graduate Program Director
The information furnished by the above named candidate in the Education degree program has been verified from departmental
records and the candidate has completed all program requirements.
Signature: _________________________________________________________ Date: _______________
Name typed: ____________________________________________________________________________
To be completed by the Dean of the College of Education
I recommend that the above named candidate be awarded the Education Specialist degree at the
__________________________20______
degree granting period.
Signature: _________________________________________________________ Date: _______________
Name typed: ___________________________________________________________________________
After signing this form, the College of Education will forward to Office of Degree Requirements, Graduate School.
INSTRUCTION SUMMARY
Enter (type) all information online. Mark items “N/A” that do not apply.
In PART I, SECTIONS A, B and C and D are to be completed by the candidate.
SECTION C – Copy from your SPIRE account transcript. In chronological order, list only Graduate courses to
be counted toward your Education Specialist degree. You may list current courses; simply leave the grade
column blank.
SECTION D – Sign and date. Submit this form with your completed (typed), signed Form ES-2 to the
Graduate Program Coordinator in the Academic Affairs Office, Furcolo Hall at least one week prior to the
Graduate School’s published deadline.
PART II will be completed by the College of Education.
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