Form 2447-15 - Request Form For A Graduation Check printable pdf download

California State Polytechnic University, Pomona

Registrar’s Office

REQUEST FOR A GRADUATION CHECK

The Graduation Check is intended to summarize the requirements remaining for the completion of a degree. Students apply for a

graduation check only once. If you have applied before, it is not necessary to re-apply. A graduation check will be completed within

90 days of submission in the Registrar’s Office. Results are emailed to student’s Cal Poly Pomona email account.

Once the graduation check has been completed by the Registrar’s Office, students may use the results as a checklist for completing the

remaining degree requirements. Students requiring assistance with course selection are encouraged to consult with their faculty

advisor. Students are strongly advised to keep copies of all petitions, memos and contracts. Student must file an Application to

Graduate before a degree is conferred.

CLEARLY PRINT INFORMATION

Last Name ______________________________ First Name _____________________ Middle Name _______________

Bronco Number __________________ Home Phone _____________________ Cell Phone ______________________

Address ______________________________________ City ____________________ State _____ Zip _____________

Campus Email Address __________________ @csupomona.edu Alternate Email Address _______________________

Student’s Signature ___________________________________________________ Date ______________

________________________________________________________________________________

CHECK THE DEGREE FOR WHICH YOU ARE REQUESTING A

GRADUATION CHECK AND COMPLETE THE REQUESTED INFORMATION

□

BACHELORS DEGREE

Anticipated Graduation Date: Quarter _______________ Year ________

STUDENTS ARE ELIGIBLE FOR A GRADUATION CHECK WHEN THEY ARE WITHIN 10 COURSES

OR 40 UNITS (EXCLUDING IN-PROGRESS UNITS) OF COMPLETING DEGREE REQUIREMENTS

* Major _______________________________ Option/Emphasis/Specialization ________________________

If your major requires an advisor approved course list, contract, or directed/career/technical elective list, to ensure the accuracy of your graduation

check, submit the appropriate form with this request.

□ *

If you have changed your major since the quarter you were admitted, please check this box.

Minor (if appropriate) _____________________________________________________

Contract must be filed in the Registrar’s Office and requirements must be completed in the same quarter you graduate.

REQUEST FOR CURRICULUM YEAR CHANGE FOR UNDEGRADUATE STUDENTS ONLY

For the purpose of meeting graduation requirements, undergraduate students remaining in continuous attendance may elect to meet the requirements in

effect at the point of admission or when all graduation requirements will be satisfied. Students who have changed their major will automatically be

placed under the curriculum year that is in effect when the change of major took place. Please check box to change your curriculum to term of

graduation. NOTE: Curriculum change is void if student fails to graduate during the requested term of graduation. When graduation is deferred,

students return to their previous curriculum year (degree requirements).

□

Academic Year at time of Graduation**

** For Engineering Majors Only: Associate Dean’s Approval Required ____________________________Date _________________

All requirements under requested curriculum year must be satisfied. For further information, refer to Cal Poly Catalog / Election of Regulations

□

MASTER’S DEGREE

Anticipated Graduation Date: Quarter ______________ Year _________

Master’s Degree in (please indicate field) ______________________________________________________

Graduate contracts must be approved by the Graduate Studies Office and filed with the Registrar’s Office before completing this request.

Graduate Coordinator/Director Signature __________________________________ Date ______________

FOR REGISTRAR’S OFFICE USE ONLY: RECEIVED BY_____________________________________ DATE_________________

F-2447-15 Rev: 04/07

List of Majors requiring approved documents, please see reverse side, page two

Form 2447-15 - Request Form For A Graduation Check

Related Articles

Related forms

Related Categories