Free Alternate Commencement Site Form – Baccalaureate - PDF Form Download
Permission to attend commencement exercises at a location other than the College granting the degree may be requested by completing this form.
Text Version of this Form
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Request for Alternative Commencement Site
(Form O-1 Undergraduate Baccalaureate Students Only)
Permission to attend commencement exercises at a location other than the College granting the degree may be requested by
completing this form. Please follow the instructions below.
1. Forward this form to the Graduation Coordinator in the Dean’s Office in the College of your major no later than the end of the
eleventh week of the semester you are graduating. Your request will be forwarded to the Graduation Coordinator in the Dean’s
Office of the alternative site College for their approval. The alternative site College being asked to consider this request
reserves the right to approve or deny your request.
2. If approval is granted, the Graduation Coordinator in the Dean’s Office of the alternative site College will notify
you of the approval. The alternative site College will also provide you with instructions concerning the
3. If the request to graduate at an alternative site is not approved, the Graduation Coordinator in the College Dean’s Office
denying the request will notify you and the other College of the denial.
I request permission to attend commencement exercises at the “Requested Commencement Location” indicated below. I
understand that the awarding of the diploma is contingent upon the satisfactory completion of all graduation requirements, as
certified by the appropriate faculty within my College.
Student Name: ________________________ PSU ID: ________________________
Degree Expected: _________________________ Major: _____________________________
Semester of Graduation: _________________________ College: _________________________
Assigned Commencement Location: _____________________________________
Requested Commencement Location: ____________________________________ (If University Park Campus, must specify College)
Will you graduate as a Schreyer Scholar? __________________________________
Reason(s) for Request: ______________________________________________________________
Student Contact Information:
Local Street Address : _______________________________________________________
City: __________________________State: _____________________ Zip: ___________
Phone: _______________________________ Email: ___________________________
Student Signature: ______________________________________ Date: _______________
Degree-Granting College: Signature: __________________________Date:__________
Alternative Site College: Signature: __________________________ Date:__________ □ Approved □ Denied
Note to Colleges:
If approved, the alternative site College will notify the student of the approval and update ISIS screen ARUGX.
If denied, the College denying the request will notify the student of the denial.
Approved: ACUE (5-5-05)
Revised: Editorial (1-17-12)
Revised: Editorial (2-16-12)