Submit by 5/1/08
a.) Name (First / Middle / Last)
b.) Phonetic Pronunciation Please have mercy and tell us how to say your name?(First / Middle / Last )
c.) Degree / Major BA BIO BS BCD BS BEB BS BMG
d.) Student ID Number:
a.) Diploma Ceremony Participation Are you planning on attending this year's diploma ceremony? Yes No
b.) How many are planning to attend? Please indicate number Attendance at the ceremony and reception is not limited and tickets are not required
c.) Will your parents or significant other be attending? Yes No If so may we have their names (First / Last )
d.) Interpreter services
Will any of your party require the services of an interpreter for the hearing impaired? Yes No (If yes, we will contact you to make arrangements)
e.) ADA services
Please let us know if wheelchair or any other accommodations are needed Yes No (If yes, we will contact you to make arrangements)
Notes:
Help us make your moment a success by submitting a small summary your accomplishments, future plans, and thank the people that have supported you the most
a.) Accomplishments during your academic career at the University:
Degree with Distinction
deKiewet Fellowship
Strong Children's Research Fellowship
McNair Research Program
GEBS
NCUR
Independent Research (if so please include area/s of research & mentor/s):
Double Major, specify:
Minor, specify:
Certificates, specify:
b.) Future Plans:
MEDICAL SCHOOL Applied Accepted Where / Program
GRADUATE SCHOOL Applied Accepted Where / Program
RESEARCH Applied Accepted Where / Program Area of Research
VETERINARIAN SCHOOL Applied Accepted Where / Program
DENTISTRY Applied Accepted Where / Program
PEACE CORPS Applied Accepted Stationed Where:
PLANNING TO JOIN WORKFORCE? Where:
MILITARY Stationed Where:
OTHER:
UNDECIDED
c.) Special note of thanks to your parents and/or to whom has greatly supported you in your endeavors (up to 20 words):
