ID #

(As you wish it printed on your diploma. Insert international characters as applicable.)

First

Middle

Last

Verify Name

First

Middle

Last

(Where you wish your diploma to be sent)

US International

Address 1:

Address 2:

City:

State:

Country:

ZIP Code:

Phone Number:

Address 1:

Address 2:

City:

State:

ZIP Code:

Phone Number:

Email Address:

Place of Employment:

Business Phone:

May August December

Year:

I need to take a Winterim course to complete this degree.

December May None

Master of Business Administration

Master of Professional Accountancy

Master of Science

Master of Science in Education

Education Specialist

Major/Emphasis

Major/Emphasis

Major/Emphasis

Major/Emphasis

Major/Emphasis

Comprehensive Examination (MPA and MS-Safety Students Choose this Option)

Applied Research Project/Integrative Project/Applied Communication Project

Course Work Option (MBA Students Choose this Option)

Practicum

Thesis

Thesis Committee Chairperson

Other Thesis Committee Members