Graduate Commencement Participation Form

Please complete this form by April 22, 2013, to help us make appropriate arrangements for parking and the reception.

Note: This is NOT the Degree Eligibility Form required for graduation. The Degree Eligibility Form is available from the Office of Degree Requirements, Room 534 Goodell Building or online.

I plan to participate in the May 10, 2013 Graduate Commencement:

Yes

Personal Information

Title:

Mr.

Mrs.

Ms.

First Name: *

Last Name: *

Student ID #:

Daytime Phone (e.g., 413-577-1234):

Email: *

Address:

Line 1:

Line 2:

City:

State:

Zip:

Commencement Information

Graduation Date:

Sept. 2012

Feb. 2013

May 2013

Other

Degree:

Program:

Thesis Committee Chair (if Master's) or Dissertation Committee Chair (if Doctoral):

Number of Guests:

We appreciate your cooperation in helping us plan.

Note for Those with Disabilities If you or any of your guests require the services of an interpreter, please contact the Office of Disablity Services, 161 Whitmore Building (Voice/TTY: 413-545-0892). The deadline for requesting interpreter services is April 5. If you require any other accommodations, e.g., wheelchair assistance during the ceremony, please contact the Graduate Student Service Center at 413-545-5284.

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Graduate Ceremony

Graduate Commencement Participation Form

Questions about Commencement? Contact us.