INSTRUCTIONS: Please print or type this form. One application per degree Graduation Application Print legal name: Current Mailing Address: Permanent Mailing Address: P.O. Box/Street Address P.O. Box/Street Address City State Zip Code City State Zip Code Telephone # (Daytime) Telephone # (Daytime) Campus: St. Thomas St. Croix INDICATE DEGREE PROGRAM Master of Arts in Education Master of Arts in Business Administration Master of Arts in Public Administration Bachelor of Science Major(s) Concentration(s) Bachelor of Arts Major(s) Associate in Science Major(s) First Middle Last ATTENDING Commencement ST. THOMAS CAMPUS ST. CROIX CAMPUS NOT ATTENDING Date: Student’s Signature: GRADUATION FEES: [All fees are non-refundable] ‹ Degrees(s) Each additional Degrees(s) from different category $75.00 $25.00 FOR OFFICE USE ONLY Receipt # Amount Received $ Clerk’s Initials + All prospective graduates must contact the Bookstore for Academic Regalia by graduation application deadline. Revised 02/08/06 Date: University of the Virgin Islands NOTE Major(s) Associate in Arts Cash Check Other ‹ Office of the Registrar M F Date of Birth MM DD YY ____/____/____ Email Address: Gender SSN # All completed applications must be submitted to the Registrar’s Office