master of business administration application for degree

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.