Graduation Application

First and Last Name - Please type your name EXACTLY as you wish for it to appear on your diploma (Last name must match official student record)

First NameLast Name

Do you wish to have your middle name written on your diploma?

Middle Name - ONLY complete if you wish to have your middle name appear on the diploma.

Academic Advisor Email

example@lourdes.edu

Student ID Number

900XXXXXX

Phone #

Format: (000) 000-0000.

Email Address

firstname.lastname@mymail.lourdes.edu

Address (This is where your diploma will be mailed to - if applicable)

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Are you a Graduate Student or Undergraduate Student?

Please select your Graduate Program

Degree

Major

Minor

Concentration

I am applying to graduate for the following semester

Graduation Year

Will you participate in the May Graduation Ceremony? (Note: Commencement ceremonies are only held in May)

I understand that I must meet all degree requirements to graduate & participate in commencement events. Summer candidates must be registered for all remaining requirements in order to participate in May commencement events

I understand that my diploma and transcript will not be released until I meet all academic requirements and financial obligations.

I acknowledge that a final copy of the graduation application will be sent to my Lourdes email indicating my remaining graduation requirements, if any.

I understand that submission of a graduation application and payment does not ensure I have completed all degree requirements.

Student Signature

Date

Advisor Name

First NameLast Name

List all in-progress courses, any outstanding service learning hours, and other pending requirements (enter n/a if no requirements are remaining)

Rows
Course/Requirement 1
Course/Requirement 2
Course/Requirement 3
Course/Requirement 4
Course/Requirement 5
Course/Requirement 6
Course/Requirement 7
Course/Requirement 8
Course/Requirement 9
Course/Requirement 10

Total Service-Learning hours completed (ex. 6/20).

Enter 0/0 for Graduate Students

Upload Student Degree Audit and other supporting documents

Advisor additional Notes

I verify that I have attached the student's degree audit worksheet.

I verify that any substitution and/or waiver forms are on file in the Registrar's Office or are attached to this submission.

I verify that the student meets all conditions for graduation, pending completion of above requirements.

Advisor's Signature

Date

Students receiving degrees are invited and expected to participate in the commencement exercises. A fee is required for expenses regardless of participation in commencement exercises. The fee must be paid upon completion of this form.

*Graduating students are expected to purchase a cap and gown seperate from the fee on this form. Cap and Gown purchase information will be shared by the Registrar office in the weeks after the application deadline.

Pay with PayPal (DO NOT click if paying by credit/debit card)

Undergraduate Level Student

BS., BSN. BA. etc.

$120.00

Graduate Level Student

MSN, MBA etc.

$135.00

Total

Payment Option

OR

Pay with PayPal

Choose from one of the PayPal options to make your payment.

Lourdes University Application for Graduation

Student Information

Degree Information

Advisor Information

Payment

Pay with PayPal (DO NOT click if paying by credit/debit card)

Pay with PayPal