West Virginia State University

First Name:

Last Name:

Address 1:

Address 2:

City :

State:

U.S. ZIP code:

U.S. phone number:

( ) -

Email:

Group Name :

For Example: Upward Bound

How many guests will be in your group?:

Classification: Please enter what grade you are currently in:

Major:

Sports:

Extracurricula Activities:

What day are you planning to visit?:

Campus tours are available Monday through Friday only. Please enter the month, day, and year as follows 08/22/2018 .

What time are you available?:

10:00 a.m. Monday-Friday Only
2:00 p.m. Tuesday, Thursday, & Friday Only

Would you like to audit a classroom?:

Yes
No

Would you like to dine on campus?:

Yes
No

*For dining details please contact our Food Service Coordinator Mrs. Pamela Rectenwald at (304) 766-3357 or pamela.rectenwald@thomashospitality.com

Do you have any physical provisions?:

Security code:

Enter security code:

PART ONE: Application for Degree
Section One: Student Information
Student I.D. (A#):*
Date:*
Student Full Name (First, Middle, Last):*
(PLEASE TYPE NAME EXACTLY AS YOU WISH IT TO APPEAR ON DIPLOMA)
Local Mailing Address
Street:*
City:*
State:*
Zip Code:*
Phone Number:*
WVSU Email Address:*
Section Two: Graduation and Degree Information
Expected Graduation Date:*	May August August (but marching in December) December

Degree Type?:*	Masters Bachelors Certificate

Major:*
Minor:
Certificate:
Honors Program Distinction:

Section Three: Graduation Ceremony
Participating in Graduation Ceremony?:*	Yes No
Cap and Gown Measurements: Please click here for a chart of measurements.
Honors Program Distinction:
Check here if you will need special accommodations during the Commencement Exercises.:
I understand that all financial obligations must be met before I may be awarded my degree. I also understand that I will not be cleared for graduation until the graduation analysis and degree audit has been evaluated and my completion of requirements verified. I certify that the informaiton given on this application is complete and correct to the best of my knowledge. By clicking Submit, I acknowledge that I have read and understand this information.