Anticipated Date of Graduation: April 12, May 10, June 14, 2013

Dear Student:

According to the Registrar’s records, you are a candidate for graduation on January 1, 2011, April 12, May 10 or June 14. Your diploma date will be determined by your last requirement completed. It is imperative that you return the following no later than January 10, 2013:

Please fill out the form below with the name that you would like on your diploma. Keep in mind that the name on your diploma must match your transcript and ECFMG record. Changes to your name will be recognized only if they are documented legal changes. Any name changes requested after January 10, 2013 will result in a $300 fee. Your diploma will be mailed to the address you indicate below.

First Name Erika

Midde Initial/Name Christina

Last Name Spuhler

Street 2211 San Miguel Dr

City Friendswood

State TXZip 77546Country USAPhone (832) 620-2184Date Requirements completed

May 10, 2013

Your file will be reviewed by the Office of the Registrar to ensure that all of your clinical work has been documented. The following requirements must be met prior to the diploma date in order for you to graduate:

Completion of all required course work for terms 1 – 5 without unresolved deficiencies Completion of 80 weeks of clinical rotations and the corresponding paperwork Is in good financial standing, discharged of all indebtedness to the University Has taken and submitted scores for Step 2 or the written and CSA or the oral

Please notify this office immediately with any changes to your address, as your diploma will be mailed to you via Federal Express 2 day service with a signature requirement. Please allow up to 2 weeks following graduation for delivery of the diploma. Please send this form back via SGU email to Ranel Blair at RBlair@sgu.edu.