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Graduation Participation Form
Petition must be filed with the Registrar no later than the first week of the spring quarter.
Student Type
*
Undergraduate
Graduate
MLS/Law
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
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip Code
*
Cell Number
*
Home Number
Email Address
*
Degree
*
Associate in Science
Associate in Arts
Bachelor of Science
Bachelor of Arts
Masters
JD (Drivon School of Law)
Major/Course of Study
*
Accounting
Business Administration
Court Reporting
Community Studies
Criminal Justice
Criminal Justice Leadership (MSCJL)
Early Childhood Education
Legal Studies
Liberal Studies
Arts in Teaching with Multiple Subject Teaching Credential (MAT)
Arts in Education (MAEd)
Concentration (Bachelor's Only)
*
Corrections, Probation, and Parole
Law Enforcement
Concentration (Bachelor's Only)
Management
Marketing and Business Communication
Human Resources Management
Minor (if applicable)
Minor in Business Administration
Minor in Community Studies
Minor in Legal Studies
Minor in Criminal Justice
Minor in Early Childhood Education
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 Commencement?
*
YES, I will participate in the commencement 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 before items are ordered.
Height for Graduation Gown (Please include feet and inches)
*
Weight for Graduation Gown (lbs)
*
Cap Size
*
XS (19 ¼ - 20 ⅛)
S (20 ¼ - 21 ⅛)
M (21 ¼ - 22 ⅞)
L (23 – 24 ⅛)
XL (24 ¼ - 26)
Please note:
There is a diploma fee of $25.
Student Signature:
*
clear
Today's date
*
+
Petition to Participate in Commencement
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Humphreys University
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Registrar