Le Moyne College Office of the Registrar

Application for Degree

This form must be completed prior to your Senior Audit.
Today's Date*
First Name-AS IT WILL APPEAR ON DIPLOMA*	Middle Name-AS IT WILL APPEAR ON DIPLOMA	Last Name-AS IT WILL APPEAR ON DIPLOMA*
ID# (Last 7 digits above name on College ID card)*
Cell/Local phone #*
Permanent Phone #*
Le Moyne Email address*
Anticipated Date of Graduation* MayAugustDecember
Graduation Year*
Choose one of the following:* I plan to participate in the May Graduation Ceremony I do not plan to participate in the May Graduation Ceremony
DEGREE ORDER I am applying for the following degree(s): BEFORE YOU COMPLETE THIS SECTION: 1. LOG INTO ECHO (http://echo.lemoyne.edu) 2. CLICK ON STUDENT LINKS AND MY STUDENT PROFILE 3. Verify all majors, minors, and concentrations listed. If you disagree with any information listed here, you must submit the required paperwork to the Registrar's Office. Please note: By submitting this online Application for Degree, it does not change your information in MY STUDENT PROFILE.
BACHELOR OF ARTS DEGREE
Major(s)
Concentration(s)
Minor(s)
BACHELOR OF SCIENCE DEGREE
Major(s)
Concentration(s)
Minor(s)

ADDRESS TO MAIL DIPLOMA TO:
If different from home address, check this box
Street Address*
City*
State*
Zip*

I understand completion of this application does not guarantee my degree. I must complete all degree requirements with at least a 2.0 cumulative and major GPA. Courses and requirements not completed by my above stated degree date will result in my degree date being moved to the next appropriate date. By submitting this form I also agree to allow Le Moyne College to publish my name in the commencement program and release my name and address to the commencement photographer.
Also send me a copy
Submit
* Required

Application for Degree

This form must be completed prior to your Senior Audit.

I am applying for the following degree(s):

ADDRESS TO MAIL DIPLOMA TO: