Graduation Application

First and Last Name - Please type your name EXACTLY as you wish for it to appear on your diploma*

First NameLast Name

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

YesNo

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 #*

Email Address*

firstname.lastname@mymail.lourdes.edu

Address*

Street Address

Street Address Line 2

CityState

Zip CodeCountry

Are you a Graduate Student or Undergraduate Student?*

Graduate StudentUndergraduate Student

Please select your Graduate Program *

Degree*

Associate of Arts - AABachelor of Arts - BABachelor of Science - BSBachelor of Science in Nursing - BSN

Major*

Minor

Concentration

I am applying to graduate for the following semester*

Graduation Year*

Will you participate in the Graduation Ceremony? *

I understand that I must meet all degree requirements to graduate & participate in commencement events.*

Agree

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

Agree

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

Agree

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

Agree

Student Signature*

Advisor Name *

First NameLast Name

List all in-progress courses, any outstanding service learning hours, and other pending requirements


Course/Requirement 1
Course/Requirement 2
Course/Requirement 3
Course/Requirement 4
Course/Requirement 5
Course/Requirement 6
Course/Requirement 7

Total Service-Learning hours completed: *

Upload Student Degree Audit and other supporting documents*

Advisor additional Notes

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

Agree

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

Agree

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

Agree

Advisor's Signature*

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.

Undergraduate Level StudentBS., BSN. BA. etc.

$120.00

Graduate Level StudentMSN, MBA etc.

$135.00

Total

$0.00

Payment Methods

Fastlane Checkout

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

Contact Info

Payment Info

Lourdes University Application for Graduation

Student Information

Degree Information

Advisor Information

Payment