Application Deadline
October 28, 2016
CLAFLIN UNIVERSITY
APPLICATION FOR GRADUATION
Undergraduate
Graduation Fee Deadline
$160.00 by February 17, 2017
CANDIDATE INFORMATION:
Campus ID:
□
Degree:
BS
Major:
□
BA
Expected Date of Graduation:
□ December, 2016 □
Note:
May, 2017
Minor:
□
July, 2017
Concentration:
Print name EXACTLY as you wish it to appear on your diploma. Use upper & lower case letters to ensure proper capitalization
Failure to submit application by deadline will incur a $25.00 late fee.
Applications submitted after April 21, 2016 will not appear on the graduation program.
Name:
First
Middle/Maiden
Last
Suffix (Jr., III etc.)
Address:
Claflin P.O. Box or Local Mailing Address
Local Phone:
City
Cell Phone:
State
Zip Code
Email:
Member of Alice Carson Tisdale
Home Resident (US Students):
City
State
Honors College:
Country Resident (International Students):
Stop here! Please print and return to Office of Records & Registration
□
□
Yes
No
GRADUATION REQUIREMENTS: (Please Type or PRINT clearly)
Completing degree requirements based on Academic Catalog:
to
Total credit hours required for graduation in your major:
Total credit hours earned as of date towards this major (excluding developmental courses):
Total credit hours still needed for graduation (including currently enrolled courses):
Have you taken and passed the Junior Exam:
Have you taken and passed the Senior Exam:
□ Yes □ No □ N/A □ Will take on
□ Yes □ No □ N/A □ Will take on
 I understand that
 Official transcript(s) of other college(s) must be on file in the Office of Records and Registration to be eligible for
graduation. It is the student’s responsibility to make sure transcript(s) are on file.
 All undergraduate students must have completed or must be enrolled in their final coursework to participate in the
Commencement Convocation.
 I must maintain a minimum cumulative GPA of 2.0 to be eligible for graduation.
 If I fail to complete graduation requirements by May, I must submit a new application for graduation.
Student’s Signature:
Date:
COURSES NEEDED TO COMPLETE REQUIREMENTS: (Also Include all course(s) with ‘I’ or ‘Z’)
Current Term
Prefix
Number
Short Title
Future Term
SH

Grade
(Office Use)
Prefix
Number
Short Title
SH
Grade
(Office Use)
LIST OF COURSE(S) SUBSTITUTED: (Please Type or Print clearly)
Equivalent Claflin Course(s)
Course(s) Taken
Prefix
Number
Short Title
SH
Grade
LIST OF COURSE(S) IN MINOR: (Course Prefix-Number/Term taken)
1)
______________/____
2)
______________/____
3)
______________/____
4)
______________/____
5)
______________/____
6)
______________/____
□ N/A
Prefix
Number
Short Title
SH
Grade
 My signature confirms

I have reviewed the above student’s record and verify that the student will complete graduation
requirements for the specified degree if the courses are successfully completed as it is outlined in the
attached.

The student’s Advisement Sheet is attached.
Advisor’s Name:
Chair’s Name:
□ Yes
□ Yes
□ No
□ No
Dean’s Name:
□ Yes
Date:
Chair’s Signature:
Date:
Dean’s Signature:
Date:
Registrar’s Signature:
Date:
□ No
Registrar’s Name:
□ Yes
Advisor’s Signature:
□ No
Comments: ____________________________________________________________________________________________
____________________________________________________________________________________________