College of Liberal Arts and Sciences: Request to Participate in Commencement by Exceptionality

Please contact Angie Cawthon (amcawthon@eiu.edu or 217-581-5221) if you have any questions about completing this form.

Name Name * First Last
EIU E-Number *
Local Address Local Address *
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Phone Phone * - ### - ### ####
Email *
Primary Department *

Primary Department Art + Design Biological Sciences Chemistry and Biochemistry Economics English Geology & Geography History Mathematics and Computer Science Music Philosophy Physics Political Science Psychology Sociology, Anthropology, and Criminology Theatre Arts World Languages and Cultures School of Communication Studies and Journalism
Major(s) *
Term and Year of Degree Completion (when you will finish your final degree requirements): *
I would like to walk in the following ceremony: *
Reason for Exceptionality: *

Reason for Exceptionality: I will complete all of my remaining degree requirements in the summer. I have only student teaching, internship, or practicum to complete. I completed my degree in a previous term. Other (please be specific) Other (please be specific)
Please provide a detailed plan for completing your remaining degree requirements (course number, transfer college, requirements, etc). *
If your request is denied, you may appeal the decision with the College of Liberal Arts and Sciences Dean. Contact your certification officer, Angie Cawthon (amcawthon@eiu.edu) about additional information you may be required to submit for appeal consideration. Keep in mind, unless unique considerations warrant it, the appeal will not be granted if you do not meet the criteria above or the established deadline for submitting your request. The decision of the dean's office is final.