University Registrar : Application for Degree or Certificate

IMPORTANT: This form cannot be submitted electronically. Please type in the required information, print, sign and mail to the below address. Or return it to your school, department, or the Diploma Division in 210 Kent Hall.

Doctoral and M. Phil candidates should use the forms provided by the GSAS Dissertation Office instead.

Morningside Campus

Diploma Division
Office of the Registrar
Columbia University
210 Kent Hall, MC 9202
1140 Amsterdam Avenue
New York, NY 10027

Medical Center Campus

Student Administrative Services
Columbia University
630 W. 168th Street
Unit 45, Black Building
1st fl., Room 141
New York, NY 10032

Columbia University in the City of New York

Application for Degree or Certificate

Print Form

Name Last:
First:
Middle:
Does this name differ from the name on your academic profile?

No Yes

Identification

CUID:

Date of Birth M/D/Y
Month	Day	Year

Degree or Certificate For Which You Are Applying

School

Graduation:
Graduation Year Y:	Graduation Month M:

Department

Degree or Certificate

Major

Minor

Concentration

Other Degree or Certificate You
are Applying For on the Same Date

Note: You must fill out a separate application for each degree.

School	Degree or Certificate
Other School	Other School Degree or Certificate

Post Graduation Address and Contact Information

Email:	Phone:
Fax:
Address Line 1:
Address Line 2:
City:	State/Province:
Postal Code:	Country:

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Registrar Forms

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Application for Degree or Certificate

Morningside Campus

Medical Center Campus

Columbia University in the City of New York

Application for Degree or Certificate