Request for Special Permission

to March at Commencement

To be completed by those who will not have completed all graduation requirements by May Commencement.

When completed, please email: registrar@ClarksSummitU.edu.

Name:

Student ID#:

Box #:

Telephone. #: ( )

Email:

Permanent Address:

Street:

City/State/Zip:

Degree Anticipated:

Program of Study:

Please identify the program requirement(s) that will not be completed by the time of commencement and explain why they will not be completed by that time:

Please state your detailed plan for completing each requirement:

By my written or typed signature below, I acknowledge that if I do not fulfill my completion plan as described above, I may be subject to curriculum changes in my program that could make additional course work necessary.

I also acknowledge that my diploma will be dated after all above requirements have been fulfilled including course work or transfer credits. All requirements must be completed before diploma will be processed.

Student Name:

Date:

Registrar’s Signature = Approval: