Graduation Form

Congratulations on being near your program completion!

Use this form to provide the name that you would like printed on your diploma or certificate and the address where you would like your diploma mailed. If you are completing more than one program, please complete a separate form for each degree and/or certificate.

Please don't fill out this input box.

Name*Enter your name exactly how you want it to appear on your diploma/certificate.

SUNY Schenectady Student ID#*

Telephone Number*Please include your area code.

Current Mailing Address*

Address diploma/certificate should be mailed to if different from above

E-Mail *

Select Appropriate Degree *

Name of Program*

Month of Completion*

Year of Completion*

Digital Signature*Type Your Name

Date Signed*