[ { "page": 1, "items": [ { "page": 1, "type": "TITLE", "location": { "l": 217.44, "t": 733.92, "r": 376.8, "b": 677.76 }, "text": "Kentucky State University\nApplication for Graduate Degree\nDegree Checkout Form\n(Form Revised February 2006)", "reading_order": 0, "level": 1 }, { "page": 1, "type": "TEXT", "location": { "l": 34.08, "t": 659.52, "r": 543.84, "b": 640.8 }, "text": "Instructions: The student must apply for graduation the semester/session prior to the actual date of graduation. The deadline for submittal are outlined in the Academic Calendar in the University Catalogue and the semester Information Booklet.", "reading_order": 1 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 34.32, "t": 640.08, "r": 479.76, "b": 630.96 }, "text": "The student must complete Section I of this form, sign in Section IV, and submit this application to the division chairperson or dean.", "marker": "•", "list_id": "L1", "level": 0, "reading_order": 2 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 34.32, "t": 630.48, "r": 518.16, "b": 620.64 }, "text": "The department must complete Section II, Section III, and signature portion of Section IV of this form and submit to Office of Graduate Studies.", "marker": "•", "list_id": "L1", "level": 0, "reading_order": 3 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 34.32, "t": 620.88, "r": 454.56, "b": 611.52 }, "text": "The department must attach a copy of the curriculum checklist with notations of completed, substituted and waived courses.", "marker": "•", "list_id": "L1", "level": 0, "reading_order": 4 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 34.32, "t": 611.28, "r": 514.08, "b": 591.6 }, "text": "Upon receipt of the Office of the Registrar will complete the preliminary degree audit and notify the student and department of the status of the Application for Graduate Degree.", "marker": "•", "list_id": "L1", "level": 0, "reading_order": 5 }, { "page": 1, "type": "TITLE", "location": { "l": 34.32, "t": 582.96, "r": 361.68, "b": 571.44 }, "text": "I. Student Information Student ID: ___", "reading_order": 6, "level": 2 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 199.65, "t": 592.35, "r": 359.66, "b": 572.046 }, "text": "Application for Graduate Degree.", "field_kind": "text", "label": "Application for Graduate Degree.", "pdf_field_name": "Text1", "pdf_field_type": "Text", "reading_order": 7 }, { "page": 1, "type": "TEXT", "location": { "l": 34.08, "t": 560.16, "r": 563.04, "b": 549.36 }, "text": "Name: ___", "reading_order": 8 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 61.2, "t": 570.24, "r": 297.36, "b": 552.48 }, "text": "Name", "field_kind": "text", "label": "Name", "pdf_field_name": "Name", "pdf_field_type": "Text", "reading_order": 9 }, { "page": 1, "type": "TEXT", "location": { "l": 35.04, "t": 551.52, "r": 299.04, "b": 542.88 }, "text": "Note: Print Full name as it is to appear on diploma.", "reading_order": 10 }, { "page": 1, "type": "TEXT", "location": { "l": 394.08, "t": 582.72, "r": 498.96, "b": 570.96 }, "text": "Date: ___", "reading_order": 11 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 421.92, "t": 590.88, "r": 496.8, "b": 573.12 }, "text": "Date", "field_kind": "text", "label": "Date", "pdf_field_name": "Date", "pdf_field_type": "Text", "reading_order": 12 }, { "page": 1, "type": "TEXT", "location": { "l": 360, "t": 560.16, "r": 565.92, "b": 550.08 }, "text": "
\"Image\"
\n", "reading_order": 13 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 360, "t": 570.24, "r": 564.12, "b": 552.48 }, "text": "Hometown (Required", "field_kind": "text", "label": "Hometown (Required", "pdf_field_name": "Hometown Required", "pdf_field_type": "Text", "reading_order": 14 }, { "page": 1, "type": "TEXT", "location": { "l": 430.56, "t": 552, "r": 488.16, "b": 543.12 }, "text": "Hometown (Required)", "reading_order": 15 }, { "page": 1, "type": "TEXT", "location": { "l": 34.8, "t": 535.92, "r": 566.16, "b": 524.4 }, "text": "Current Email: ___", "reading_order": 16 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 87.96, "t": 544.8, "r": 319.8, "b": 527.16 }, "text": "Current Email", "field_kind": "text", "label": "Current Email", "pdf_field_name": "Current Email", "pdf_field_type": "Text", "reading_order": 17 }, { "page": 1, "type": "TEXT", "location": { "l": 358.8, "t": 536.16, "r": 565.68, "b": 524.64 }, "text": "Current Phone: ___", "reading_order": 18 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 412.8, "t": 544.8, "r": 564.72, "b": 527.16 }, "text": "Current Phone", "field_kind": "text", "label": "Current Phone", "pdf_field_name": "Current Phone", "pdf_field_type": "Text", "reading_order": 19 }, { "page": 1, "type": "TEXT", "location": { "l": 39.12, "t": 517.68, "r": 564.96, "b": 506.64 }, "text": "Name on University records (If different than above): ___", "reading_order": 20 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 211.92, "t": 526.44, "r": 563.76, "b": 508.68 }, "text": "Name on University records (If different than above", "field_kind": "text", "label": "Name on University records (If different than above", "pdf_field_name": "Name on University records If different than above", "pdf_field_type": "Text", "reading_order": 21 }, { "page": 1, "type": "TEXT", "location": { "l": 33.84, "t": 498.96, "r": 567.36, "b": 487.92 }, "text": "Address after Street: ___ Apt: ___", "reading_order": 22 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 105.84, "t": 507.96, "r": 409.8, "b": 490.32 }, "text": "Address after Street", "field_kind": "text", "label": "Address after Street", "pdf_field_name": "Address after Street", "pdf_field_type": "Text", "reading_order": 23 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 450.24, "t": 508.08, "r": 566.4, "b": 490.32 }, "text": "Apt", "field_kind": "text", "label": "Apt", "pdf_field_name": "Apt", "pdf_field_type": "Text", "reading_order": 24 }, { "page": 1, "type": "TEXT", "location": { "l": 34.56, "t": 488.16, "r": 75.84, "b": 479.76 }, "text": "Graduation", "reading_order": 25 }, { "page": 1, "type": "TEXT", "location": { "l": 35.28, "t": 480.48, "r": 481.44, "b": 469.44 }, "text": "City: _____ State: _____ Zip:", "reading_order": 26 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 144, "t": 489.6, "r": 344.04, "b": 471.84 }, "text": "City", "field_kind": "text", "label": "City", "pdf_field_name": "City", "pdf_field_type": "Text", "reading_order": 27 }, { "page": 1, "type": "TEXT", "location": { "l": 356.16, "t": 480.48, "r": 563.76, "b": 469.92 }, "text": "State: _____ Zip: _____", "reading_order": 28 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 382.2, "t": 489.6, "r": 434.4, "b": 471.84 }, "text": "State", "field_kind": "text", "label": "State", "pdf_field_name": "State", "pdf_field_type": "Text", "reading_order": 29 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 485.4, "t": 489.6, "r": 565.44, "b": 471.84 }, "text": "Zip", "field_kind": "text", "label": "Zip", "pdf_field_name": "Zip", "pdf_field_type": "Text", "reading_order": 30 }, { "page": 1, "type": "TEXT", "location": { "l": 34.32, "t": 462.72, "r": 466.56, "b": 451.2 }, "text": "Advisor: ___", "reading_order": 31 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 68.04, "t": 471.12, "r": 464.04, "b": 453.48 }, "text": "Advisor", "field_kind": "text", "label": "Advisor", "pdf_field_name": "Advisor", "pdf_field_type": "Text", "reading_order": 32 }, { "page": 1, "type": "TEXT", "location": { "l": 34.32, "t": 443.76, "r": 566.88, "b": 432.96 }, "text": "Degree: ___ Catalogue of Record: ___ Grad. Date: ___", "reading_order": 33 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 65.4, "t": 452.88, "r": 285.36, "b": 435.12 }, "text": "Degree", "field_kind": "text", "label": "Degree", "pdf_field_name": "Degree", "pdf_field_type": "Text", "reading_order": 34 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 360.48, "t": 452.88, "r": 432.48, "b": 435.12 }, "text": "Catalogue of Record", "field_kind": "text", "label": "Catalogue of Record", "pdf_field_name": "Catalogue of Record", "pdf_field_type": "Text", "reading_order": 35 }, { "page": 1, "type": "TEXT", "location": { "l": 34.32, "t": 425.04, "r": 568.8, "b": 414.48 }, "text": "Program: ___ Area(s) of Specialization: ___", "reading_order": 36 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 69.72, "t": 434.4, "r": 341.64, "b": 416.76 }, "text": "Program", "field_kind": "text", "label": "Program", "pdf_field_name": "Program", "pdf_field_type": "Text", "reading_order": 37 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 509.28, "t": 452.88, "r": 565.32, "b": 435.12 }, "text": "Grad. Date", "field_kind": "text", "label": "Grad. Date", "pdf_field_name": "Grad Date", "pdf_field_type": "Text", "reading_order": 38 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 446.28, "t": 434.4, "r": 566.28, "b": 416.76 }, "text": "Area(s) of Specialization", "field_kind": "text", "label": "Area(s) of Specialization", "pdf_field_name": "Areas of Specialization", "pdf_field_type": "Text", "reading_order": 39 }, { "page": 1, "type": "TITLE", "location": { "l": 34.08, "t": 405.6, "r": 410.64, "b": 394.8 }, "text": "II. Courses in Progress (For transfer courses, identify institution after course number)", "reading_order": 40, "level": 2 }, { "page": 1, "type": "TEXT", "location": { "l": 68.64, "t": 395.04, "r": 227.76, "b": 387.6 }, "text": "(please add additional courses on additional sheets if needed)", "reading_order": 41 }, { "page": 1, "type": "TEXT", "location": { "l": 36.24, "t": 393.12, "r": 303, "b": 376.656 }, "text": "(please add additional courses on additional course", "reading_order": 42 }, { "page": 1, "type": "TEXT", "location": { "l": 36.24, "t": 376.656, "r": 303, "b": 360.192 }, "text": "Prefix & No. Title Hours", "reading_order": 43 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 245.52, "t": 394.28, "r": 281.52, "b": 378.92 }, "text": "Spring", "field_kind": "text", "label": "Spring", "pdf_field_name": "Spring", "pdf_field_type": "Text", "reading_order": 44 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 72, "t": 388.2, "r": 111.96, "b": 379.92 }, "text": "Fall", "field_kind": "text", "label": "Fall", "pdf_field_name": "Fall", "pdf_field_type": "Text", "reading_order": 45 }, { "page": 1, "type": "TEXT", "location": { "l": 303, "t": 376.656, "r": 569.76, "b": 360.192 }, "text": "Prefix & No. Title Hours", "reading_order": 46 }, { "page": 1, "type": "TEXT", "location": { "l": 303, "t": 393.12, "r": 569.76, "b": 376.656 }, "text": "Spring: ________ (If Applicable)", "reading_order": 47 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 429.36, "t": 397.68, "r": 461.28, "b": 379.92 }, "text": "Summer", "field_kind": "text", "label": "Summer", "pdf_field_name": "Summer", "pdf_field_type": "Text", "reading_order": 48 }, { "page": 1, "type": "TEXT", "location": { "l": 393.36, "t": 387.6, "r": 569.52, "b": 311.28 }, "text": "Summer: ___ (If Applicable)\nPrefix & No. ___ Title ___ Hours ___", "reading_order": 49 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 36, "t": 370.08, "r": 196.08, "b": 352.32 }, "text": "Prefix &No [1]", "field_kind": "text", "label": "Prefix &No [1]", "pdf_field_name": "Prefix No 1", "pdf_field_type": "Text", "reading_order": 50 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 216, "t": 370.08, "r": 364.08, "b": 352.32 }, "text": "Prefix & No [1]", "field_kind": "text", "label": "Prefix & No [1]", "pdf_field_name": "Prefix No 1-1", "pdf_field_type": "Text", "reading_order": 51 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 396, "t": 370.08, "r": 568.08, "b": 352.32 }, "text": "Prefix & No [1]", "field_kind": "text", "label": "Prefix & No [1]", "pdf_field_name": "Prefix No 1_2", "pdf_field_type": "Text", "reading_order": 52 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 36, "t": 351.72, "r": 196.08, "b": 333.96 }, "text": "Prefix &No [2]", "field_kind": "text", "label": "Prefix &No [2]", "pdf_field_name": "Prefix No 2", "pdf_field_type": "Text", "reading_order": 53 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 216, "t": 351.72, "r": 364.08, "b": 333.96 }, "text": "Prefix & No [2]", "field_kind": "text", "label": "Prefix & No [2]", "pdf_field_name": "Prefix No 2", "pdf_field_type": "Text", "reading_order": 54 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 396, "t": 351.72, "r": 568.08, "b": 333.96 }, "text": "Prefix & No [2]", "field_kind": "text", "label": "Prefix & No [2]", "pdf_field_name": "Prefix No 2_2", "pdf_field_type": "Text", "reading_order": 55 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 36, "t": 333.24, "r": 196.08, "b": 315.48 }, "text": "Prefix &No [3]", "field_kind": "text", "label": "Prefix &No [3]", "pdf_field_name": "Prefix No 3", "pdf_field_type": "Text", "reading_order": 56 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 216, "t": 333.24, "r": 364.08, "b": 315.48 }, "text": "Prefix & No [3]", "field_kind": "text", "label": "Prefix & No [3]", "pdf_field_name": "Prefix No 3", "pdf_field_type": "Text", "reading_order": 57 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 396, "t": 333.24, "r": 568.08, "b": 315.48 }, "text": "Prefix & No [3]", "field_kind": "text", "label": "Prefix & No [3]", "pdf_field_name": "Prefix No 3_2", "pdf_field_type": "Text", "reading_order": 58 }, { "page": 1, "type": "TEXT", "location": { "l": 34.32, "t": 303.84, "r": 366, "b": 292.8 }, "text": "Will courses in progress meet the minimum graduation hours required for the degree?", "reading_order": 59 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 360.627, "t": 302.785, "r": 365.945, "b": 295.533 }, "text": "○", "field_kind": "checkbox", "label": "○", "pdf_field_name": "Check Box3", "pdf_field_type": "CheckBox", "reading_order": 60 }, { "page": 1, "type": "TEXT", "location": { "l": 359.04, "t": 302.64, "r": 366.96, "b": 294.48 }, "text": "O", "reading_order": 61 }, { "page": 1, "type": "LIST_ITEM", "location": { "l": 394.56, "t": 303.6, "r": 480, "b": 293.52 }, "text": "Yes O No", "marker": "○", "list_id": "L2", "level": 0, "reading_order": 62 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 433.139, "t": 302.785, "r": 437.49, "b": 295.533 }, "text": "○", "field_kind": "checkbox", "label": "○", "pdf_field_name": "Check Box10", "pdf_field_type": "CheckBox", "reading_order": 63 }, { "page": 1, "type": "TITLE", "location": { "l": 34.08, "t": 284.16, "r": 261.36, "b": 272.4 }, "text": "III. Thesis and Comprehensive Examination Section", "reading_order": 64, "level": 2 }, { "page": 1, "type": "TEXT", "location": { "l": 34.08, "t": 262.56, "r": 480.72, "b": 251.76 }, "text": "Has a comprehensive examination been completed? ○Yes ○No ○Not required", "reading_order": 65 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 289.082, "t": 260.728, "r": 293.432, "b": 253.476 }, "text": "○Yes", "field_kind": "checkbox", "label": "○Yes", "pdf_field_name": "Check Box4", "pdf_field_type": "CheckBox", "reading_order": 66 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 361.111, "t": 260.728, "r": 365.461, "b": 253.476 }, "text": "○No", "field_kind": "checkbox", "label": "○No", "pdf_field_name": "Check Box5", "pdf_field_type": "CheckBox", "reading_order": 67 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 433.139, "t": 260.728, "r": 437.49, "b": 253.476 }, "text": "○Not required", "field_kind": "checkbox", "label": "○Not required", "pdf_field_name": "Check Box6", "pdf_field_type": "CheckBox", "reading_order": 68 }, { "page": 1, "type": "TEXT", "location": { "l": 34.32, "t": 250.8, "r": 481.2, "b": 240.24 }, "text": "Has a thesis or major project been completed? ○Yes ○No ○Not required", "reading_order": 69 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 289.082, "t": 249.609, "r": 293.432, "b": 242.358 }, "text": "○Yes", "field_kind": "checkbox", "label": "○Yes", "pdf_field_name": "Check Box7", "pdf_field_type": "CheckBox", "reading_order": 70 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 361.111, "t": 249.126, "r": 365.461, "b": 241.874 }, "text": "○No", "field_kind": "checkbox", "label": "○No", "pdf_field_name": "Check Box8", "pdf_field_type": "CheckBox", "reading_order": 71 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 432.656, "t": 249.126, "r": 437.007, "b": 241.874 }, "text": "○Not required", "field_kind": "checkbox", "label": "○Not required", "pdf_field_name": "Check Box9", "pdf_field_type": "CheckBox", "reading_order": 72 }, { "page": 1, "type": "TITLE", "location": { "l": 34.32, "t": 228.48, "r": 130.8, "b": 217.2 }, "text": "IV. Signature Section", "reading_order": 73, "level": 2 }, { "page": 1, "type": "TEXT", "location": { "l": 34.08, "t": 206.64, "r": 322.32, "b": 195.84 }, "text": "Student: ___", "reading_order": 74 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 108.12, "t": 216, "r": 320.04, "b": 198.24 }, "text": "IV. Signature Section", "field_kind": "signature", "label": "IV. Signature Section", "pdf_field_name": "IV Signature Section", "pdf_field_type": "Signature", "reading_order": 75 }, { "page": 1, "type": "TEXT", "location": { "l": 357.6, "t": 206.88, "r": 569.76, "b": 195.36 }, "text": "
\"Image\"
\n\n\n
\"Image\"
\n\n\n", "reading_order": 76 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 396.12, "t": 216, "r": 568.2, "b": 198.24 }, "text": "[1]", "field_kind": "text", "label": "[1]", "pdf_field_name": "1", "pdf_field_type": "Text", "reading_order": 77 }, { "page": 1, "type": "TEXT", "location": { "l": 34.32, "t": 187.92, "r": 321.84, "b": 177.12 }, "text": "Advisor: ___", "reading_order": 78 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 108.12, "t": 197.64, "r": 320.04, "b": 179.88 }, "text": "undefined", "field_kind": "text", "label": "undefined", "pdf_field_name": "undefined_3", "pdf_field_type": "Text", "reading_order": 79 }, { "page": 1, "type": "TEXT", "location": { "l": 359.04, "t": 187.92, "r": 567.84, "b": 177.12 }, "text": "Date: ___", "reading_order": 80 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 396.12, "t": 197.64, "r": 568.2, "b": 179.88 }, "text": "[2]", "field_kind": "text", "label": "[2]", "pdf_field_name": "2", "pdf_field_type": "Text", "reading_order": 81 }, { "page": 1, "type": "TEXT", "location": { "l": 34.32, "t": 171.12, "r": 322.32, "b": 158.88 }, "text": "Program Coordinator: ___", "reading_order": 82 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 108, "t": 179.16, "r": 320.04, "b": 161.4 }, "text": "Program Coordinator", "field_kind": "text", "label": "Program Coordinator", "pdf_field_name": "Program Coordinator", "pdf_field_type": "Text", "reading_order": 83 }, { "page": 1, "type": "TEXT", "location": { "l": 352.08, "t": 171.12, "r": 574.08, "b": 158.64 }, "text": "Date: ___", "reading_order": 84 }, { "page": 1, "type": "FORM_FIELD", "location": { "l": 396.12, "t": 179.16, "r": 568.2, "b": 161.4 }, "text": "[3]", "field_kind": "text", "label": "[3]", "pdf_field_name": "3", "pdf_field_type": "Text", "reading_order": 85 }, { "page": 1, "type": "TEXT", "location": { "l": 33.36, "t": 151.68, "r": 321.6, "b": 140.16 }, "text": "Masters Department Head: ___", "reading_order": 86 }, { "page": 1, "type": 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