GRADUATE
DEGREE AND DIPLOMA
APPLICATION
UNIVERSITY OF CALIFORNIA, SAN DIEGO
OFFICE OF THE REGISTRAR
Student Services Center, Suite 261
9500 Gilman Drive # 0022
La Jolla, CA 92093-0022
GRADUATE STUDENT: Complete this application and return it to the graduate coordinator in your department.
GRADUATE COORDINATOR: Review the application for completeness and accuracy. Student or department submits
application to OGS with final degree paperwork.
QUARTER/YEAR OF GRADUATION:
STUDENT PID NUMBER:
❑ Fall 20____ ❑ Wtr 20____ ❑ Spr 20____ ❑ Sum 20____
A_________________________
DEGREE APPLIED FOR:
❑ MA
❑ MS
❑ CPhil ❑ PhD
DATE FILED:
❑ MFA
❑ MPIA
❑ MEng
❑ MAS
❑ DMA
❑ MEA
❑ MBA
❑ EDD
_________/_________/_________
❑ AUD
MAJOR/DEPARTMENT INFORMATION:
MAJOR:
MAJOR
CODE:
DEPARTMENT:
________________________________
__________________
________________________________
Do you wish to have your name printed in the Commencement booklet? ❑ Yes
❑ No
Diplomas are printed using upper case letters only, so please be specific about spacing of letters within names (LA
PALMA versus LAPALMA), accent marks, etc. IMPORTANT: Your name will appear exactly as your name appears on
your UCSD academic records. If you wish to have your name printed differently on your diploma, you must file a “Change
of Name Request” form and attach it to this Graduate Degree and Diploma Application.
________________________
FIRST
__________________
MIDDLE
____________________________________
LAST
________
SUFFIX
Diplomas for graduate degrees will be mailed 3-6 months after the end of the quarter.
The diplomas are mailed directly to your permanent mailing address, so check your
address for accuracy on Tritonlink at http://tritonlink.ucsd.edu to avoid delays in
delivery.
PHONE NUMBER(S) WHERE YOU
MAY BE REACHED AFTER YOU
GRADUATE.
(_______)____________________
Student Signature: _______________________________________________
(_______)____________________
CURRENT PHONE:
(_______)____________________
DATE
REGISTRAR’S
USE ONLY
INITIALS
TERM AWARDED ___________________
INITIAL KEY ENTRY
_________
_________
DIPLOMA MAILED
_________
_________
DIPLOMA ORDERED
_________
_________
DEGREE AWARDED _________________
MAJOR ____________________________
TERM REPORTED ___________________
Revised 11/09