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EAST TENNESSEE STATE UNIVERSITY Office Use Only SCHOOL OF GRADUATE STUDIES Print Form Notice of Intention to Graduate Reset Form You should deliver this form to Burgin Dossett Hall Rm 309 or mail/fax it to the School of Graduate Studies as shown at the bottom of this document. Note Certificate earners do not participate in the graduation commencement ceremony. GRADUATE DEGREE GRADUATE CERTIFICATE Master of Accountancy Master of Allied Health Master of Arts Master of Business Administration Master of City Management Master of Education Master of Professional Studies Master of Public Administration Semester in which requirements for the degree will be completed Master of Science Master of Social Work Specialist in Education Doctor of Audiology Doctor of Education Doctor of Public Health Doctor of Philosophy Doctor of Physical Therapy Semester Year Archival Studies Biostatistics Business Economic Development Emerging Technology Entrepreneurial Leadership Epidemiology Gerontology Forensic Document Analysis Health Care Management Health Care Translation and Interpretation Post Master s Nursing School Library Professional Storytelling Certificate Teaching English as a Second Language Urban Planning Graduate Major DETAILS OF CAP AND GOWN Height I have read the Notice of Intention to Graduate and understand that if I do not satisfy the degree requirements for the above stated semester I must submit a new form in the next term and every applicable term thereafter. Signature Date Print Name East Tennessee State University School of Graduate Studies Burgin Dossett Hall Room 309 Box 70720 Johnson City TN 37614-1710 Phone 423-439-4221 Fax 423-439-5624 Email gradsch etsu. This should be the address at which you wish to receive correspondence relating to your graduation from ETSU. If this address changes before you graduate please give us your new local address. E Street City State Campus Box Phone Zip Code Email Number where you can be reached concerning graduation. Check relevant degree or certificate below. Note Certificate earners do not participate in the graduation commencement ceremony. GRADUATE DEGREE GRADUATE CERTIFICATE Master of Accountancy Master of Allied Health Master of Arts Master of Business Administration Master of City Management Master of Education Master of Professional Studies Master of Public Administration Semester in which requirements for the degree will be completed Master of Science Master of Social Work Specialist in Education Doctor of Audiology Doctor of Education Doctor of Public Health Doctor of Philosophy Doctor of Physical Therapy Semester Year Archival Studies Biostatistics Business Economic Development Emerging Technology Entrepreneurial Leadership Epidemiology Gerontology Forensic Document Analysis Health Care Management Health Care Translation and Interpretation Post Master s Nursing School Library Professional Storytelling Certificate Teaching English as a Second Language Urban Planning Graduate Major DETAILS OF CAP AND GOWN Height I have read the Notice of Intention to Graduate and understand that if I do not satisfy the degree requirements for the above stated semester I must submit a new form in the next term and every applicable term thereafter.

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