OHIO STATE ATI - APPLICATION FOR DEGREE (Petition to Graduate)

THIS APPLICATION IS DUE NO LATER THAN THE FIRST TWO (2) WEEKS OF THE SEMESTER PRIOR TO THE SEMESTER YOU WILL GRADUATE

Semester applying for: *

OSU ID Number *

Name *

Type of degree: *

Associate of Applied Science

Associate of Science

Associate of Technical Studies (only with pre-approval)

Certificate

First major *

Second major (if applicable)

Diplomas will be sent to the permanent address listed on your academic record at the time of mailing.

Street Address *

City *

State *

Zip *

How can we contact you if questions arise regarding this petition?

Phone

OSU e-mail address

Provide a breakdown of your plan to complete the remaining degree requirements.

Current semester: *

Current semester courses *

List all courses in which you are currently enrolled. If not enrolled, enter NONE.

Courses to be completed in FINAL semester *

List courses you will register for during your last semester. If you have no courses remaining, enter NONE.

Are all FINAL semester courses being taken at Ohio State ATI? *

Yes

Not Applicable

If NO, where will you be taking your final courses?

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