Graduation Application Request Form

Today's Date*
MM slash DD slash YYYY
Name*
First Last
PID*
Your PID is 9 digits and typically starts with the number 7. It is not your Social Security Number.
UNC Email*
If you do not have an active UNC email account please enter your current email address.
Degree:*
Major 1:*
Major 2:
Minor 1:
Minor 2:
Expected Graduation Month and Year:*
For example, August 2017, December 2018, May 2019
Have you already applied for graduation on ConnectCarolina?*
Would you like to request a senior underload?*
Please confirm the date final coursework was completed:*
MM slash DD slash YYYY
Please confirm the date in-progress coursework will be complete:*
MM slash DD slash YYYY
Mailing Address:*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Additional Comments:
Announcements and Signature:*
Your full legal name as listed in the University’s records will be printed on your diploma. All name changes are processed through the Office of the University Registrar. Diplomas are mailed after graduation to the home address listed on your ConnectCarolina account. If the address above does not match the address listed in ConnectCarolina, you can make updates via your Student Center or by contacting the Office of the University Registrar. If you apply after the posted deadline, your name is not guaranteed to be listed in the Commencement Program.

Please initial here as your signature: