Return this form to the Office of the Registrar 633 Clark St. Evanston, IL 60208

PETITION TO GRADUATE

Winter Spring Summer Year: __________

Student Signature: ____________________________________________________________________ Date: ______________________

First Name Middle Name Last Name Student ID Number

I plan to graduate in: Fall

Please use reverse side of this form for adviser-approved substitutions, waivers, or related course approvals.

Major: ___________________________________________________________________

______Concentration (if applicable): _________________________________________________

Adviser Name:____________________________________ Adviser Signature: __________________________________ Date: __________

Additional Majors/Minors/Certificates *Dual Bachelor's Degree Students must submit a separate petition for each school.

Page 1

with a Bachelor of:

Northwestern Email Address

The name below will appear on your diploma exactly as written – please print clearly.

School:

Suffix

Are you dropping any Majors/Minors/Certificates?

If so, please list them here:

I am also a Dual Bachelor's Degree* student in

the School of: ___________________________

Major Minor Certificate: __________________________________________________________ Requirement year: __________

Concentration (if applicable): ____________________________________________________

Adviser Name:_______________________________ Adviser Signature: _______________________________ Date: __________

Major Minor Certificate: _________________________________________________________ Requirement year: ___________

Concentration (if applicable): ____________________________________________________

Adviser Name:_______________________________ Adviser Signature: _______________________________ Date: __________

Please confirm your degree progress and requirements using the Degree Progress Report in CAESAR

Requirement year (what's this?): ____________

Return this form to the Office of the Registrar 633 Clark St. Evanston, IL 60208

For College or School-level Requirements (this section not for Weinberg students):

Adviser Approvals:

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PETITION TO GRADUATE - Adviser Approvals

For Major/Minor/Certificate:_____________________________________________________________

Adviser Approvals:

For Major/Minor/Certificate:_____________________________________________________________

Adviser Approvals:

For Major/Minor/Certificate:_____________________________________________________________

Adviser Approvals:

The name below will appear on your diploma exactly as written – please print clearly.

First Name Middle Name Last Name Suffix Student ID Number

Adviser Initials:_________

Adviser Initials:_________

Adviser Initials:_________

Adviser Initials:_________

Please indicate substitutions, waivers, and related course approvals to be made to the Degree Progress Report in CAESAR. *Please also include any necessary major or minor worksheets.