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Graduation Application

 

I WOULD LIKE TO JOIN THE KU ALUMNI ASSOCIATION

PLEASE INCLUDE MY CONTACT INFORMATION IN THE ALUMNI DIRECTORY

*I am a future graduate of  

If you are an eCampus/online student please click here

* - Denotes Required Fields.

*SECTION I: GRADUATION REQUIREMENTS
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As a Keiser University student who is approaching completion of my studies, I fully understand that:

  1. In order to graduate from Keiser University and participate in commencement exercises, I must meet with the Director of Student Services to request participation and to complete an exit interview.
  2. All courses and related coursework must be completed satisfactorily; I must maintain at least a 2.0 GPA.
  3. I must complete the ETS Proficiency Profile
  4. Placement assistance is available to all graduates; in order to receive assistance, I must submit a copy of my résumé to the online career center
    (www.collegecentral.com/keiser) and assistance is available to help with that from the Department of Student Services.
  5. All financial obligations to the University must be met prior to receiving my degree or official transcripts.
  6. I must obtain clearance signatures from Financial Services, the Bursar, Library, Student Services and Academic Affairs to complete any necessary exit interviews.
  7. I must attend a graduation seminar at the beginning of my last semester of classes prior to graduation.
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*Print Name *Signature *Student ID *Date

*By typing your name you have created an electronic signature as legally binding as your handwritten signature.

*SECTION II: DEGREE AND MAJOR IDENTIFICATION
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Please identify the appropriate major by placing a check mark in the box to the left of your major:

BACHELOR OF ARTS:
Accounting
Business Administration (General)
          Concentration in Human Resources
          Concentration in Finance
          Concentration in International Business           Concentration in Management
          Concentration in Marketing
Criminal Justice
Health Services Administration
Homeland Security
Legal Studies
Paralegal Studies
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BACHELOR OF SCIENCE:
Cyber Forensics/Information Security
Dietetics and Nutrition
Elementary Education
Forensic Investigations
Health Information Management Health Science
Information Technology Management
Interdisciplinary Studies
Management Information Systems
Network Systems and Data Communications
Nursing
Public Safety Administration
Software Engineering
Sports Medicine and Fitness Technology

ASSOCIATE OF ARTS:
Accounting
Business Administration
Criminal Justice
General Studies
Health Services Administration
Homeland Security
Paralegal Studies

ASSOCIATE OF SCIENCE:
Aquatic Engineering
Baking and Pastry Arts
Biotechnology
Computer Aided Drafting
Computer Graphics & Design
Computer Programming
Crime Scene Technology
Culinary Arts
Design and Multimedia
Diagnostic Medical Sonography
Diagnostic Vascular Sonography
Fashion Design & Merchandising
Fire Science
Histotechnology
Information Technology
Massage Therapy
Medical Assisting
Medical Laboratory Technician
Nuclear Medicine
Nursing
Occupational Therapist Assistant
Physical Therapist Assistant
Radiation Therapy
Radiologic Technology
Respiratory Therapy
Sports Medicine & Fitness Technology
Surgical Technology
Technology Integration
Video Game Design

 

SECTION III: COMMENCEMENT INFORMATION
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*Identify which month you will complete your last class (or finish your externship):

January
February
March
April
May
June
July
August
September
October
November
December

*Do you plan to participate in commencement exercises for your graduating class?

Yes
No

If yes, please provide the following information so we may provide you with appropriate graduation attire:

Height
  Weight  


Member of (Print Name of Student Organization) in good standing.

NOTE: Final GPA will be verified with the Registrar’s office to determine appropriate regalia

*Graduation Tickets Requested

Yes
How Many?
NOTE: There may be a ticket limit per graduate based on venue capacity.
No      

 

Please print your name exactly as it is to appear on your degree.

 

degree
*First Name *Last Name Middle Name or Initial

*SECTION IV: CURRENT EMPLOYMENT INFORMATION
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Please complete for Keiser University records and future employment assistance purposes.

Please note this section must be filled out. If this section does not apply to you then please put N/A in required fields.

*Current Employer:



 
   
*Address    
*City *State *Zip
 
*Phone   *Fax
 
*Supervisor's Name   *Supervisor's Email
 
*Job Title   *Salary
*Start Date *Part-time *Full-time
   
*Benefits Offered    

Was this position obtained with the assistance of the Department of Student Services?

Yes
No

SECTION V: JOB SEARCH PROFILEdegree
Please answer the following questions so that we may assist you with your job search:

*Do you have reliable transportation?

Yes
No

*Do you have a valid driver’s license?

Yes
No

*Are you legally able to work in the United States?

Yes
No   If no, why?

*What days of the week are you available to work? (Select all that apply)

Monday
Wednesday
Friday
Sunday
Tuesday
Thursday
Saturday
 

*What hours of the day are you available to work? (Select all that apply)

Mornings
Afternoons
Evenings

*Do you plan to actively job seek immediately upon graduation?

Yes
No   If no, why?

*Have you provided the Department of Student Services with a current copy of your résumé?

Yes
No

*Have you registered to the online career center?

Yes
No   If no, go to www.collegecentral.com/keiser to register.

*Are you planning to continue your education upon graduation?

Yes
No

*If yes, have you already applied to a school or schools?

Yes Where?
No   

*Have you been accepted yet?

Yes When do you start classes? What is your major?
No   

*Please identify the salary you are looking for upon graduation based on research you have done for your field of study and the market in which you will be job seeking:  Minimum: $ per

*What cities are you willing to work in?

*Have you registered with any employment agencies?

Yes Which employment company or companies?
No   

*SECTION VI: CONTACT INFORMATION
degree

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*First Name Middle Name or Intial *Last Name

VI
*Address    

VI
*City *State *Zip

 
VI
*Home Phone *Work Phone  


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*Email Address

SECTION VII: PLACEMENT INFORMATION
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Please place your signature in the appropriate area:

Placement assistance is a lifetime privilege as a graduate of Keiser University.  Assistance is available at any Keiser University campus.  This includes access to the online career center 24/7, campus career centers, and Department of Student Services staff to assist you with your résumé, interviewing skills, and notification of job opportunities.

*By typing your name you have created an electronic signature as legally binding as your handwritten signature.

Election for Placement Privileges:

I, , elect to utilize my job placement privileges with the Department of Student Services.  By electing this privilege, I authorize Keiser University to provide prospective employers with information about my academic and attendance record as well as provide verification of graduate status upon request. 

I also authorize Keiser University to verify my employment or continuing education for the purposes of updated placement records and annual reporting to accreditation agencies.  This waiver supersedes Section 438 of the General Education Provisions Act (Title IV of Public Law 90-247 as amended), added by Section 513 PL 93-380 (enacted August 21, 1974) as amended by Senate Joint Resolution 40, only for purposes stated in this paragraph.

Election against Placement Privileges:

I, , elect not to utilize my job placement privileges with the Department of Student Services for the following reason:

SECTION VIII: PLACEMENT ASSISTANCE SUSPENSION (Optional)
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Please select the reason for your request:

Medical hardship and cannot work
Family medical hardship caregiver and cannot work at this time
Pregnancy and cannot work
Recently had a baby and am not ready to return to work
Military
I require licensure or certification to work in my field and I have not taken or passed those exams at this time

My test date is scheduled for:

    I have found gainful employment and no longer need assistance
    I will be relocating out of the State of Florida upon graduation
    I do not presently wish to work in my field of study
    Other:


Please reinstate my placement privileges on: Month: Day: Year:
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Please provide medical or military documentation to support your request for suspension.

*SECTION IX: STUDENT SERVICES SATISFACTION SURVEY
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A primary goal of The Department of Student Services is to grow in our ability to help our students achieve their learning goals.  Responses help us identify our strengths and weaknesses so that we may better serve our students.   Please take a moment to answer the following questions.

*Major: *Last Month of Classes:

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*When did you attend the majority of your classes?   Day Evening Online

Using the rating scale identified below please rate how well you feel the following services enhanced your learning
experience and professional development while attending Keiser University. 

0 = Not Applicable     1 = Not Enhanced       2 = Low Enhancement        3 = Average Enhancement     

4 = Highly Enhanced                           5 = Greatly Enhanced

 

*New Student Orientation
*Assistance with Résumé and Interview Preparation
*Career Development Workshops
*Student Activities               

*Student Government Association

*Phi Theta Kappa International Honor Society

*Online Career Center

*Campus Career Center

*Job Fair / Campus Recruitment

*Newsletters / Campus Communication

*Graduate Exit Seminar

*Referral Services

*Please indicate if there are other services you would like The Department of Student Services to make available.

*Would you be willing to write a brief testimonial as to why you chose Keiser University and how it has helped
you further your career goals?

Yes
No

SECTION X: RELEASE FOR USE OF TESTIMONIAL / PHOTOGRAPH
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If you elected YES to provide a testimonial, please sign in the appropriate area below.

I hereby authorize Keiser University, its employees, assignees, or agents to use, reproduce, or distribute my photograph or photographic likeness, video taped image, and / or testimonial, individually or incorporated into any document(s) having as its (their) function any lawful purpose including but not limited to:

  1. Advertising / Promotions
  2. Illustration
  3. Guidance
  4. Description
  5. Press Coverage

 

I understand that I am not entitled to compensation for use of said photographic / video graphic likeness nor input concerning its use.  I am voluntarily speaking to the press and sharing my story.  As a result, I release Keiser University from all liability.

*Name: (Please Print)
*Date:
*Signature:
Date:
Witness Signature:

*By typing your name you have created an electronic signature as legally binding as your handwritten signature.

SECTION XI: STATEMENT OF UNDERSTANDING PROFESSIONALISM
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I, *PRINT NAME), understand and agree to the following guidelines as part of the expectations outlined when using placement assistance through Keiser University:

Please initial in the text boxes below.

* 1. I will maintain a current address and phone number with the University at all times.
* 2. I will maintain a current résumé on file with Student Services while actively job seeking.
* 3. I will notify Student Services when an employer referred by the University contacts me for an interview.
* 4. I will ALWAYS show up for any interviews scheduled as a result of a job lead from the Student Services office of Keiser University.
* 5. If an unforeseeable emergency prevents me from attending a scheduled interview, I will contact the employer as well as the Student Services office of Keiser University prior to the scheduled interview. If it is impossible to notify the involved parties prior to the interview, I will contact them during the same day of the scheduled interview.
* 6. I will return all phone calls / messages left for me from the University or potential employers.
* 7. I will dress professionally for all interviews scheduled.
* 8. I will arrive 10 – 15 minutes early for all interviews scheduled.
* 9. I will prepare myself in advance with knowledgeable questions for all interviews.
* 10. I will notify the Student Services office if I am offered and / or accept employment.

SECTION XII: ALUMNI COMMUNICATION CONTACTS
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Please assist us in helping you obtain your desired career position.  In the event that we are not able to reach you, please provide up to five additional contacts so that we can ensure you are notified of any prospective job opportunities.  You may include friends as well as family members.  The contact information provided will be used for the sole purpose of contacting you about your job search process in the event that your home and / or cellular numbers are no longer correct.  Please make sure to list individuals who will have knowledge of your whereabouts in the event you change numbers or move.

*Please note this section must be filled out. If this section does not apply to you then please put N/A in required fields.

*1. Name: *Relationship:
*Phone Number:   
*2. Name: *Relationship:
*Phone Number:   
*3. Name: *Relationship:
*Phone Number:   
4. Name: Relationship:
Phone Number:   
5. Name: Relationship:
Phone Number:   

Please insert code

 

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