1. You are registered for full-time study (9 credits in the fall, spring, or summer in a program approved by your advisor).

2. You hold an appointment as a graduate assistant or fellow and are registered for the semester (fall and spring only).

3. You are registered for fewer than 9 credits but for at least 0 credits of thesis, dissertation, or degree in progress for the semester and are engaged, at a

level equivalent to full-time study, in one or more of the following activities, as appropriate to and certified by your program:

studying for preliminary, qualifying, or comprehensive examinations

studying for a language or tool requirement

actively working on a thesis or dissertation

an internship

Department/program certification of full-time equivalent study for

equivalent to full-time study (check all that apply):

Study for preliminary, qualifying, or comprehensive exams Study for language or tool requirements

Work on thesis or dissertation An internship

Department/Program: Department/Program Chair/Director (print name):

Chair/Director Signature: Date:

I verify the above information is accurate (Student Signature): Date:

NOTE: The deadline to submit this certification is 5pm on the day of the add deadline for each Fall and Spring semester.

Please refer to the Academic Calendar for the exact dates.

Please send the completed form to the Office of the Registrar, 106 Steele Hall.

International students must also provide a copy to the Slutzker Center, 310 Walnut Place or email a copy to [email protected].