Graduation OPT- OUT Petition

* All fields are required to be completed
STUDENT INFORMATION
Enter your NSHE ID (ten-digit number)
OPT- OUT AGREEMENT

Check the box below to accept that YOU DO NOT WISH to graduate from CSN, but understand that you have fulfilled all the requirements in your declared major.

ADVISOR INFORMATION


Please enter the name of the advisor and date you discussed this Opt OUT Petition:

REASON FOR OPT-OUT


Reason you do not want to graduate from CSN at this time is:

Today's Date: 2019-07-17 19:54