Return this form to the Office of the Registrar 633 Clark St. Evanston, IL 60208 PETITION TO GRADUATE Winter Spring Summer Year: __________ Student Signature: ____________________________________________________________________ Date: ______________________ First Name Middle Name Last Name Student ID Number I plan to graduate in: Fall Please use reverse side of this form for adviser-approved substitutions, waivers, or related course approvals. Major: ___________________________________________________________________ ______ Concentration (if applicable): _________________________________________________ Adviser Name:____________________________________ Adviser Signature: __________________________________ Date: __________ Additional Majors/Minors/Certificates *Dual Bachelor's Degree Students must submit a separate petition for each school. Page 1 with a Bachelor of: Northwestern Email Address The name below will appear on your diploma exactly as written – please print clearly. School: Suffix Are you dropping any Majors/Minors/Certificates? If so, please list them here: I am also a Dual Bachelor's Degree* student in the School of: ___________________________ Major Minor Certificate: __________________________________________________________ Requirement year: __________ Concentration (if applicable): ____________________________________________________ Adviser Name:_______________________________ Adviser Signature: _______________________________ Date: __________ Major Minor Certificate: _________________________________________________________ Requirement year: ___________ Concentration (if applicable): ____________________________________________________ Adviser Name:_______________________________ Adviser Signature: _______________________________ Date: __________ Please confirm your degree progress and requirements using the Degree Progress Report in CAESAR Requirement year (what's this?): ____________