Commencement Registration Form

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To register for commencement, please complete the form below. This form must be completed by May 22, 2009.

Don't forget to vote for the Outstanding Instructor and Teaching Assistant Awards! You can also register for an Alumni account and directory listing or order a Commencement DVD.

Fields marked with a red asterisk (*) are required and must be filled out to complete this form.

Required Information

First Name: *

Middle Name:

Last Name: *

Full Name: *

Enter your name as you would like it read aloud during the ceremony.

Phone Number: *

E-Mail Address: *

Degree & Major: *

Second Major or Minor:

Advisor or Faculty Who Will Hood You:

This field is required for Ph.D. students only.

College Affiliation: *

Number of Guests: *

Plans for the Future:

What are your plans for the future? (Education, employment, research, awards, travel, etc.) This information will be posted at the reception for all to read. Please limit your answer to 50 words.

Number Of Parking Spaces: *

Commencement DVD

When you are finished registering for commencement, you will be given a link that you can use to purchase a Commencement 2009 DVD.

Special Accommodations

Please identify if you or any of your guests will be needing special or disability-related accommodations, i.e. seating, parking, sign language interpreter, wheel chair accessibility, etc.

Full Name of Person Needing Accomodation:

Accomodation Request:

Post-Graduation Contact Info

The Baskin School of Engineering invites all graduates to provide a means for the School to contact you after graduation. The School has a number of industry partnerships, job fairs and alumni/student activities that you may find helpful. This information is optional, and will not be shared with any other organization.

E-Mail Address:

Mailing Address:

City:

State:

Zip:

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