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Northwest Missouri State University


Final Application for Comprehensive Assessment and Graduate Degree

Please complete this form in full and submit it no later than the end of the third week of class for fall and spring or the first week of the summer trimester in which you plan to meet the assessment requirements.

  • Incomplete grades must be removed prior to graduation.
  • If "new" certification is involved, you must initiate the process through the director of certification Kim Hullinger, 270 Administration Building, 660.562.1671 or through the appropriate chief state school agency.
  • A $62 graduation fee is required and will be billed to your account. (not applicable to certificate programs)

I plan to meet the comprehensive assessment in .

Personal Information
(enter your name as you wish it to appear on your diploma and in the commencement program)

I plan to graduate:
919 Number:
First Name:
Middle and/or Maiden Name:
(if desired)
Last Name:
Hometown:
Advisor:
Program:
(select one)

Any e-mail notifications will be sent to your university e-mail address.

Local Address

Street:
City:
State:
Zip:
Phone Number:

Permanent or International Address
(where diploma will be mailed unless otherwise specified)

Phone Number:

Diploma Address
(if different from permanent address)

I understand that I must meet departmental requirements as outlined in the Graduate Academic Catalog before i am eligible to take the comprehensive examination. I understand that it is my responsibility to contact my advisor to make certain I have met those requirements. Please contact the Graduate Office IMMEDIATELY with any changes. Failure to do so may result in delayed graduation.