Associate Application for Awarding of Degree • Please Print Legibly or Type •
Commencement Date: Saturday, May 13, 2023
Application Deadlines: Fall Grad – May 31
Spring & Summer Grad – October 31
Name: ___________________________________________________________________________________________________ (EXACTLY as it should APPEAR on the Diploma and Commencement Program) Student ID#: ___________________________
Last 4 of SS#:________________
Phone#:_____________________________
Address to mail diploma if unable to pick up: __________________________________________________________________ __________________________________________________________________ __________________________________________________________________ Degree for which you are making application: (Please check one and write the concentration) Associate of Arts (AA).......................................................■ Associate of Science (AS)................................................■ Associate of Applied Business (AAB)..........................■ Associate of Applied Science (AAS)............................■ Associate of Technical Studies (ATS)...........................■
_________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________ _________________________________________________________
Concentration/Major for the above degree: ____________________________________________________________________ Term and year of degree completion: (Please check one) Summer Semester 2022.................................................. ■ Fall Semester 2022............................................................ ■ Spring Semester 2023...................................................... ■ Summer Semester 2023.................................................. ■ All students are required to participate in the commencement ceremony. In order to be excused, submit a request to the Registrar’s Office, Attn: Olivia Bevan, Registrar. Email: obevan@rio.edu Office: Florence Evans Hall, Room 133. Ceremony participation? Military/Veteran (honorable discharge) Full-time employee/family member of Rio? (If yes, to whom and relationship)
■ YES ■ YES ■ YES
■ NO ■ NO ■ NO
________________________________________________________________________
NOTE: Do you or a family member have need of special health or physical consideration in order to participate in the ceremony? CHECK ■ Yes or ■ No. We would like to assure your ability to have an enjoyable commencement with your friends and family. If possible, please attach a brief explanation. In order to participate in Spring Commencement but finish course work in the summer term, you must have no more than 12 hours to complete your degree. X_______________________________________________________________________________________________________ STUDENT SIGNATURE DATE FEE REQUIRED: $135*
Self-pay: ■
Add to Account: ■
*The University reserves the right to change the fee as necessary. Payment must be submitted by March 31st.
PO Box 500 • Rio Grande, Ohio 45674 • rio.edu
Associate Application for Awarding of Degree Form • 7-27-2022JA