Western Illinois UniversitySchool of Graduate Studies
Graduate Degree PlanWestern Illinois UniversitySchool of Graduate StudiesName:WIU ID No:Present mailing address:Phone No:Degree sought:Major:Option/Emphasis:Semester/year first WIU graduate course listed on this plan was taken: Catalog year:Degree Requirements DepartmentNo.TitleSemester HoursGradeInstructor/Transfer College(List all coursework required for degree)Total semester hours:List deficiency courses (if any):Thesis/Dissertation Supervisor (if required): Student’s signature/date: _____________________________________________________________________________Students – Do not write below this lineCandidacy and Degree Plan Approval:Adviser’s signature/date: _____________________________________________________________________________Graduate committee chairperson’s signature/date: _________________________________________________________Committee member’s signature/date: ____________________________________________________________________Committee member’s signature/date: ____________________________________________________________________School of Graduate Studies/Date: ______________________________________________________________________Clearance Date________________________ Graduation application_________________ Thesis/Dissertation (if required)_____________________________ Graduate StudiesForm will not be processed without signaturesComplete this form and submit to your adviser upon the completion of 21 semester hours of graduate course work.Western Illinois UniversitySchool of Graduate Studies1 University CircleMacomb, IL USA 61455-1390Phone (309)298-1806; Fax (309)298-2345wiu.edu/grad; Email: Grad-Office@wiu.edu9-17-2014 ................
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