Contact Us

Office of the Registrar
Austin Peay State University
P.O. Box 4448
Clarksville TN 37044
(931) 221-7150
Toll Free: (877) 508-0056
registrar@apsu.edu

Application for Degree

First Name: *

Last Name: *

Diploma Name: *

(Name to be printed on your diploma) Examples: John S. Doe or John Scott Doe

Street Address: *

City: *

State: *

APSU Email Address: *

Telephone: *

Format: (xxx) xxx-xxxx

Hometown City: *

(to be listed in Commencement program)

Hometown State: *

(to be listed in Commencement program)

Are you planning to participate in the Commencement ceremony?: *

Yes

Degree: *

Major: *

Concentration: *

If not applicable, please enter "N/A".

Minor: *

If not applicable, please enter "N/A".

Catalog Year: *

Information Correctness: *

I certify that I have reviewed my degree evaluation and all information above is correct.

Discrepancies Resolved: *

I understand that I must also have any discrepancies on my degree evaluation resolved by June 25, 2012.

Read Carefully:

By submitting this form, I hereby certify that I have formally filed an application for degree for the date above with the Office of the Registrar.

Also, participation in the commencement ceremony does not certify completion of all degree requirements.

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