Graduation Participation Form

Deadline date for submissions is 30 days prior to ceremony.

Please spell your name exactly the way you want it to appear on your diploma:

First Name *

Middle Name

Last Name *

Student ID Number: *

Mailing Address *

Address Line 2

City *

State *

Zip Code *

Cell Number *

Home Number

Email Address *

The University prints a commencement exercises program. The University also submits names of graduates to local newspapers.

If you do NOT wish for your name to appear on these lists, please indicate here.

Participating in Graduation? *

YES, I will participate in the graduation ceremony.

NO, I will not participate in the ceremony; however, I will order a diploma.

NO, I will not participate in the ceremony, and I do not want to order a diploma.

Please note: Graduation fee of $100 must be paid 30 days before ceremony.

Height for Graduation Gown (Please include feet and inches) *

Weight for Graduation Gown (lbs) *

Cap Size *

Please note: There is a diploma fee of $25.

Student Signature: *

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Today's date * +