MASTER OF BUSINESS ADMINISTRATION APPLICATION FOR DEGREE DIRECTIONS— To graduate, you must apply on or before the first workday of the month of anticipated graduation and complete all other requirements by the last workday of that month. For part-time MBA students only: Due to the high volume of students graduating in the spring, students intending to graduate spring semester or summer term must submit this application by March 1. Graduation requirements include an online exit interview. Instructions for completion of the exit interview will be sent via email to your University of Minnesota account at the beginning of the graduation month you indicate on this form. Exit counseling must be completed to receive your diploma. Print your name as you want it to appear on your diploma. (NOTE: The last name on your diploma must match the last name on your official University record. Contact One Stop Student Services for instructions to officially change your last name.) If your diploma mailing address changes after you submit this form, contact One Stop. Graduation, when used in this application, refers to the granting of your degree—it does not refer to commencement ceremonies. Contact your college office for commencement information. Diplomas are mailed 4-6 weeks after the end of the month in which you graduate. If you have not received your diploma after that time, please contact One Stop. NOTE: It is your responsibility to review your record for holds. Financial holds will block the posting of your degree and the mailing of your diploma. When you satisfy your financial obligations to the University, and your holds are released, notify One Stop. Your degree will then be posted and your diploma will be mailed. RETURN FORM TO: MBA Student Affairs Office In-person on campus to: 1-110 Carlson School of Management By mail to: 1-110 Carlson School of Management 321 19th Avenue South Minneapolis, MN 55455 Phone: 612-625-5555 Fax: 612-626-7785 Date received Initials To ensure privacy online, open in Adobe Reader (free at Adobe.com). Please add the required signature(s) in blue or black ink. SECTION 1. Student information University ID Name as it to appear on the diploma (first, middle, last) Current mailing address (street, city, state, ZIP code) Mailing address to which diploma should be mailed (street, city, state, ZIP code) Phone number Email address SECTION 2. Degree information Degree MBA 306 (check one) Part-time MBA Full-time MBA Executive MBA Desired month and year of graduation (check one and specify year) Spring: January February March Summer: June July August Fall: September October November April May 20_____ 20_____ December 20_____ SECTION 3. Certification Student signature Date for OTR use only confer date processed by month/year applied To request copies of this form in an alternative format, please call a Disability Resource Center liaison at 612-625- 9578. The University of Minnesota is an equal opportunity employer and educator. This form is printed on paper made from no less than 20 percent post-consumer waste. *009184* otr184 6/15 Please recycle.
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