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*Student Name
*Social Security Number
*Email Addres
*Verify Email Address
*Committee Chair
*Committee Chair's Email
*Program
<Select One>
Accountancy/Accountancy (MAS)
Accountancy/Accountancy (MST)
Business/Master of Business Administration/Evening (MBA)
Business/Master of Business Administration/Professional (MBA)
Business/Executive Master of Business Administration/Saturday (MBA)
Operations Management and Information Systems/OMIS (MS)
Counseling, Adult and Higher Education/Adult & Higher Edu (MSEd)
Counseling, Adult and Higher Education/Adult & Higher Edu (Ed.S)
Counseling, Adult and Higher Education/Counseling (MsEd)
Counseling, Adult and Higher Education/Counseling (EdD)
Counseling, Adult and Higher Education/Adult & Higher Edu (EdD)
Leadership, Educational Psyc, & Foundations/Educational Administration (MSEd)
Leadership, Educational Psyc, & Foundations/Educational Administration (EdS)
Leadership, Educational Psyc, & Foundations/Educational Administration (EdD)
Leadership, Educational Psyc, & Foundations/Educational Psychology (MSEd)
Leadership, Educational Psyc, & Foundations/Educational Psychology (EdD)
Leadership, Educational Psyc, & Foundations/Foundations of Education (MSEd)
Leadership, Educational Psyc, & Foundations/School Business Management (MSEd)
Educational Technology, Research & Assessment/Educational Research and Evaluation (MS)
Educational Technology, Research & Assessment/Instructional Technology (MSEd)
Educational Technology, Research & Assessment/Instructional Technology (EdD)
Kinesiology and Physical Education/Physical Education (MSEd)
Kinesiology and Physical Education/Adapted Physical Education (MSEd)
Kinesiology and Physical Education/Exercise Physiology/Fitness Leadership (MSEd)
Kinesiology and Physical Education/Pedagogy & Curriculum Development in PE (MSEd)
Kinesiology and Physical Education/Sport Management (MSEd)
Literacy Education/Literacy Education (MSEd)
Literacy Education/Curriculum & Instruction/Literacy Education (EdD)
Teaching and Learning/Curriculum and Instruction (MSEd)
Teaching and Learning/Curriculum Leadership (EdD)
Teaching and Learning/Elementary Education (EdD)
Teaching and Learning/Secondary Education, (EdD)
Teaching and Learning/Early Childhood Education (MSEd)
Teaching and Learning/Elementary Education (MSEd)
Teaching and Learning/Spec. Ed./Blind Rehab. (MSEd)
Teaching and Learning/Spec. Ed./Early Childhood Special Ed. (MSEd)
Teaching and Learning/Spec. Ed./Learning Behavior Specialist I (MSEd)
Teaching and Learning/Spec. Ed./Learning Disabilities (MSEd)
Teaching and Learning/Spec. Ed./Orientation and Mobility (MSEd)
Teaching and Learning/Spec. Ed./Visual Impairments (MSEd)
Electrical Engineering/Electrical Engineering
Industrial and Systems Engineering/Industrial and Systems Engineering
Mechanical Engineering/Mechanical Engineering
Technology/Technology
Allied Health Professions/Allied Health Professions
Allied Health Professions/Public Health (MPH)
Allied Health Professions/Public Health/Health Promotion (MPH)
Allied Health Professions/Public Health/Health Services (MPH)
Allied Health Professions/Physical Therapy (MPT)
Communicative Disorders/Communicative Disorders/Audiology (MA)
Communicative Disorders/Audiology (AUD)
Communicative Disorders/Communicative Disorders/Rehabilitation Counseling (MA)
Communicative Disorders/Communicative Disorders/Speech-Language Pathology (MA)
Family, Consumer and Nutrition Sciences/Applied Family and Child Studies (MS)
Family, Consumer and Nutrition Sciences/Nutrition and Dietetics (MS)
Nursing/Nursing (MS)
Anthropology/Anthropology (MA)
Biological Sciences/Biological Sciences (MS)
Biological Sciences/Biological Sciences/Bioinformatics (MS)
Biological Sciences/Biological Sciences/Human Anatomical Sciences (MS)
Biological Sciences/Biological Sciences (PhD)
Chemistry and Biochemistry/Chemistry and Biochemistry (MS)
Chemistry and Biochemistry/Chemistry and Biochemistry (PhD)
Communication/Communication Studies (MA)
Computer Science/Computer Science (MS)
Economics/Economics (MA)
Economics/Economics (PhD)
English/English (MA)
English/English (PhD)
Foreign Languages and Literatures/Foreign Languages and Literatures/French (MA)
Foreign Languages and Literatures/Foreign Languages and Literatures/Spanish (MA)
Geography/Geography (MS)
Geology & Environmental Geosciences/Geology & Environmental Geosciences (MS)
Geology & Environmental Geosciences/Geology & Environmental Geosciences (PhD)
History/History (MA)
History/History (PhD)
Mathematical Sciences/Mathematical Sciences (PhD)
Mathematical Sciences/Math/Applied Mathematics (MS)
Mathematical Sciences/Math/Computational Mathematics (MS)
Mathematical Sciences/Math/Mathematics Education (MS)
Mathematical Sciences/Math/Pure Mathematics (MS)
Mathematical Sciences/Applied Probability and Statistics (MS)
Philosophy/Philosophy (MA)
Physics/Physics/Applied Physics (MS)
Physics/Physics/Basic Physics (MS)
Physics/Physics/Physics Teaching (MS)
Physics/Physics (PhD)
Political Science/Political Science (MA)
Political Science/Political Science (PhD)
Political Science/Public AdministrationComparitive & Developmental Administration (MPA)
Political Science/Public Administration/Fiscal Administration (MPA)
Political Science/Public Administration/Human Services Administration (MPA)
Political Science/Public Administration/Public Management and Leadership (MPA)
Political Science/Public Administration/Urban Management (MPA)
Psychology/Psychology (MA)
Psychology/Psychology (PhD)
Sociology /Sociology (MA)
Sociology /Sociology/Criminology (MA)
School of Art/Art/Studio Art (MA)
School of Art/Art/Art History (MA)
School of Art/Art/Art Education (MS)
School of Art/Art (MFA)
School of Music/Music (MM)
School of Music/Music/Performers Certificate (MM)
Theatre and Dance/Theatre Arts/Acting (MFA)
Theatre and Dance/Theatre Arts/Design & Technology (MFA)
Theatre and Dance/Theatre Arts/Directing (MFA)
*I began my coursework for this degree at NIU
<Select One>
Fall
Spring
Summer
semester of
Year (YYYY)
*I intend to graduate
<Select One>
Fall
Spring
Summer
semester of
Year (YYYY)
Department decision
Approved
Not Approved
Grad Director
Date
(MM/DD/YYYY)
FOR GRADUATE SCHOOL USE ONLY:
The following course(s) must be revalidated in order for the student to graduate. Copies of this form are sent to the student, the committee chair, and director of graduate studies.
NOTE:
*indicates required field