APPLICATION For GRADUATE TIME EXTENSION |
For matriculated Graduate Students who have exceeded the time limit allowed for the completion of their degree, are required to file an application for time extension of the Registrars Offices, Room 217 HN. This time extension must be approved and signed by both the Graduate advisor and Division Dean. Please do not submit this form to the Registrars Office without the required signatures. The total time limit for completing all degree requirements is 4 years except for programs in education, Nursing, Health Sciences, and Social Work where the time limit is 5 years. Your time is calculated from your first semester in a matriculated program, excluding the Summer Session, to the end of your final semester: 8 semesters for a 4 year program, 10 semesters for a 5 year program. Courses exceeding the limit at graduation will not be included in degree credits unless approved by the graduate advisor AND Division Dean. |
| Name: __________________________________________________________________________ |
| Last First Middle Maiden/Other |
| Address:_________________________________________________________________________ |
| Number and Street Apt # City State Zip Code |
| ID # (Social Security#) _______/______/________ | Curriculum: ___________________________ |
| Home Telephone: (______)________________ | Work Phone: (______)__________________ |
| If you are not in attendance for this current semester, have you applied for readmission? | ___ Yes | ___ No |
| If yes for which semester? | ______Fall | _______Spring | _______Summer |
| Student's Signature__________________________________ | Date ______/_______/______ |
***TO BE FILLED OUT BY YOUR GRADUATE ADVISOR AND DIVISIONAL DEAN**** |
| ________ | Your application for an extension of time to complete your program has been denied |
| ________ | Your application for an extension of time to complete your program has been granted |
| UNTIL (Month)______________ | (Year)_____________________ |
| Please list all out of date courses that have been approved toward degree: |
| Semester Taken | Discipline | Number | Course Title |
| ____________ | ____________ | ____________ | ________________________ |
| ____________ | ____________ | ____________ | ________________________ |
| ____________ | ____________ | ____________ | ________________________ |
| GRADUATE ADVISORS SIGNATURE | ________________________________ | Date____________ |
| DIVISIONAL DEAN'S SIGNATURE | ________________________________ | Date____________ |