Event Registration: Graduation 2012

To register for our graduation celebration, please complete the form below. This form must be completed by May 27, 2012.

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

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

All comments about Future Plans must be submitted no later than June 4th to be included on the comment posters.

There are only 11 days left to register for this event!

Registration Information

First Name: *

Last Name: *

E-Mail Address: *

First Name: *

Middle Name:

Last Name: *

Full Name: *

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

Phonetic Spelling:

If your name is hard to pronounce, please spell your name phonetically to assist us in pronouncing your name correctly.

Phone Number: *

E-Mail Address: *

Degree & Major: *

Additional Major(s) or Minor(s):

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. In order for your comments to be included at the reception, they MUST be received no later than Friday, June 3rd.

Number Of Parking Spaces: *

PhD Students: Advisor or Faculty Who Will Hood You:

PhD Students: Dissertation Title:

Disability Related Accommodations Needed:

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.

Post-Graduation E-Mail Address:

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.

Post-Graduation Street Address:

Post-Graduation City:

Post-Graduation State:

Post-Graduation Zip Code:

Post Graduation Country:

Captcha

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