COLLEGE OF HEALTH SCIENCES COMMENCEMENT AND/OR NURSING CONVOCATION REGISTRATION

 

* Indicates a Required Field and/or Format

First Name (As Read on Stage)*:     

Last Name (As Read on Stage)*:     

Phonetic Spelling of Name (If Often Mispronounced):   

Do you plan to participate in the College of Health Science Commencement Ceremony (Regalia Required)?*:   

Due to commencement venue constraints, I understand that flat soled shoes are required, and food/drinks are not allowed*:     

Please estimate the number of guests you will have in attendence:

Hometown(As Read on Stage)*  

Current Mailing Address*:     

Permanent/Diploma Mailing Address*:     

Phone*:       

UW Email*:       

Permanent Email*:       

W#*:     

Semester of Graduation*    Year:

Are you graduating from the Nursing Program?   

Major:   

Degree*:   

Plans/Employment After Graduation*? (Required for all graduates, but will also be read at the Convocation Ceremony for those participating) - Type full sentences in 3rd person

Name of your hooding faculty member, if applicable:

Masters DOC/DNP

Photographers will be taking your photo as you receive your diploma at the Health Sciences Commencement as well as the
School of Nursing Convocation.They will send complimentary e-mails and proofs of your commencement photos.
To help you get the correct photo please fill out the following information:

Sex: Hair Length:
Hair Color: 

If you need assistance, please contact:

College of Health Sciences Commencement - Winter Hansen, 307.766.3495 or Mark Belcher, 307.766.6556

School of Nursing Convocation - Debbie Shoefelt, 307.766.4292 or Claire Hitchcock, 307.766.4291