Graduation Request

Program Name*:

First Name*:

Last Name*:

Address*:

City*:

Province/State*:

Postal/Zip Code*:

Country*:

Email*:

Daytime Phone*:

Evening Phone:

Start Date of Program*:

Last Course Completed*:

Date this course was completed*:

If applicable, the date I completed my project was:

On my official UBC certificate or award of achievement, I would like my name to appear as*:

For Project Management and Integrated Marketing Strategy Students only.

Project Management [Part-Time Core] students list the courses you have taken towards your specialization.

Integrated Marketing Strategy students list the courses you have taken towards your program through Sauder School of Business.

For Web Analytics Students and Graduates only
(Intending to take the Web Intelligence Certificate program)

Students read the the terms and conditions of the statement below.  If you agree to the terms and conditions, please click the check box.

Graduates read the terms and conditions of the statement below.  If you agree, please click the check box, as well, as the check box indicating you are a former graduate of the program.

I hereby agree that UBC Continuing Studies has my approval to forward my contact details and Program Completion Record, showing courses and grades, to UC Irvine for the purpose of taking the Web Intelligence Certificate.  UBC Continuing Studies will not share my confidential information with any other educational institution or source without my express permission.

I am a former graduate of the UBC Award of Achievement in Web Analytics program.