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                                                                                                                                 Print          Clear Form
                                              Office of Graduate Studies                                REQUEST FOR A LETTER OF
                                              120 Admininstation Bldg.
                                              Irvine, CA 92697-3180                                       DEGREE CERTIFICATION:
                                              Attn. Andrea Anderson

                                              zot = 3180
                                              (949) 824-1244
                                              alanders@uci.edu
                                                                                                                    FOR GRADUATE STUDENTS

    STUDENT            Thesis and dissertation students, please complete this form and submit it to University Archives (Main Library,
                       room 525.) All other students, please submit it to the Office of Graduate Studies for processing. During peak
                       business times of the quarter, this request may take at least 5 working days to be processed. The official letter can
                       be mailed to either yourself or a third party you so designate. NOTE: Only one official Letter of Degree
                       Certification is provided for each degree. If you intend to submit the letter to more than one party, it is
                       recommended that you have the original mailed to you. You can then provide any requesting party with a
                       photocopy of the letter and retain the original for future use.
                       Please use the "TAB" key to move between fields. Do not use the "Enter" key.

                                                                                                                                         Student ID Number:
    Student Name:
                                               Last                                          First                    Middle

    Student Phone:     (      )                                           Student e-mail address:


    Mailing Address:          Street                                                             City                            State          Zip Code

    Department:                                                                          Major:


  Degree:        r Ph.D.     r Ed.D.             r M.A.          r M.S.         r M.F.A.        r M.A.T.     r M.U.R.P.          r M.B.A.       r M.A.S.


  Quarter/Year of degree conferral:                   r Fall         r Winter        r Spring           r Summer      ________
                                                                                                                          Year

  Name and Address of Third Party to which you want the Official Letter sent (if different from "mailing
  address" listed above -- otherwise, state "SAME").
  Name:
  Address:
                                                                 Street


                                       City                                          State                         Zip Code




  STUDENT SIGNATURE: _________________________________________                                                  DATE: ___________________


   OFFICE OF GRADUATE STUDIES

  DATE LETTER WAS SENT: _________________________________

  REQUEST PROCESSED BY:                           _________________________________
                                                                   (Name)




 Degree Certification.doc                                                    Revised 03/20/07                                                       Page 1 of 2
 BACKGROUND INFORMATION FOR COMPLETING                               NOTE: Much of the text below is adapted from UCI's
 REQUEST FOR A LETTER OF DEGREE                                      Graduate Advisor's Handbook:
 CERTIFICATION FORM                                                  http://www.rgs.uci.edu/grad/staff/grad_hdbk.pdf.

Certification of Degree Award
The Office of Graduate Studies notifies students by mail of formal degree conferral at the end of the quarter in which the degree is conferred.
When all degree requirements have been completed, the student may submit this Request for a Letter of Degree Certification form. The
official Letter of Degree Certification bears the Dean of Graduate Studies' signature stamp and University Seal, and, for employment and
career advancement purposes, is the equivalent of the diploma or the official academic transcript posting. The student may request one copy
for personal use, or for direct transmission to another educational institution or employer. There is no charge for this service, but this service
will be provided only one time for each degree conferred.




Degree Certification.doc                                        Revised 03/20/07                                                       Page 2 of 2