University Of Minnesota Duluth
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2009–2010
UNIVERSITY OF MINNESOTA DULUTH Commencement Attendance Questionnaire
Return this form on campus to:
UMD Baccalaureate Degree
Student Assistance Center 23 Solon Campus Center
Before submitting this questionnaire, submit your completed Application for Degree.
or mail it to:
Submit this questionnaire by February 1, 2010 and your name will appear in the Spring 2010 Commencement Program, even if you are not attending the ceremony. If you return forms after February 1, 2010, your name will appear in the Spring 2011 Commencement Program. This information will be used to plan commencement seating. It is our only record of your participation in the ceremony.
Complete this form in Adobe Reader software, not a Web browser, to ensure the privacy of your information. Place the cursor in a field and type. Print a copy to add the required signature(s) in blue or black ink.
Office of Financial Aid and Registrar University of Minnesota Duluth 1049 University Drive Duluth MN 55812-3011
E-mail: [email protected] Fax: 218-726-6144 Phone: 218-726-8000
Student information First name
Middle name
Last name
Student signature
Student ID number
I plan to attend Commencement, Saturday, May 15, 2010.
Please check one
I do not plan to attend Commencement. If you change your mind regarding participation, complete a new questionnaire by February 1, 2010.
Yes, list my hometown in the Commencement Program and provide my hometown newspaper with my graduation information.
College
City
State
Zip Code
Degree—check all that apply. If you will receive more than one degree, and you are attending Commencement, circle which degree section you would like to sit with.
CLA
B.A.
SCSE
B.S.
B.S.Ch.E.
CEHSP
B.A.A.
B.A.Sc.
LSBE
B.Acc.
B.B.A.
SFA
B.A.
B.F.A.
B.S.E.C.E.
B.S.I.E.
B.S.M.E.
B.Mus.
Complete sections below only if you are attending Commencement. Current mailing address Street
City
Phone
E-mail
State
Zip Code
Indicate any special, disability-related seating arrangements you may require.
To help us pronounce your name correctly, please write a phonetic spelling of your name.
Are you an international student? No Yes–from what country? __________________________________________________________ If “Yes,” and you have family who will be coming from out of the country, please list them below. Name
Relationship to you
Country
6/08/2009
UNIVERSITY OF MINNESOTA DULUTH Commencement Attendance Questionnaire
Return this form on campus to:
UMD Baccalaureate Degree
Student Assistance Center 23 Solon Campus Center
Before submitting this questionnaire, submit your completed Application for Degree.
or mail it to:
Submit this questionnaire by February 1, 2010 and your name will appear in the Spring 2010 Commencement Program, even if you are not attending the ceremony. If you return forms after February 1, 2010, your name will appear in the Spring 2011 Commencement Program. This information will be used to plan commencement seating. It is our only record of your participation in the ceremony.
Complete this form in Adobe Reader software, not a Web browser, to ensure the privacy of your information. Place the cursor in a field and type. Print a copy to add the required signature(s) in blue or black ink.
Office of Financial Aid and Registrar University of Minnesota Duluth 1049 University Drive Duluth MN 55812-3011
E-mail: [email protected] Fax: 218-726-6144 Phone: 218-726-8000
Student information First name
Middle name
Last name
Student signature
Student ID number
I plan to attend Commencement, Saturday, May 15, 2010.
Please check one
I do not plan to attend Commencement. If you change your mind regarding participation, complete a new questionnaire by February 1, 2010.
Yes, list my hometown in the Commencement Program and provide my hometown newspaper with my graduation information.
College
City
State
Zip Code
Degree—check all that apply. If you will receive more than one degree, and you are attending Commencement, circle which degree section you would like to sit with.
CLA
B.A.
SCSE
B.S.
B.S.Ch.E.
CEHSP
B.A.A.
B.A.Sc.
LSBE
B.Acc.
B.B.A.
SFA
B.A.
B.F.A.
B.S.E.C.E.
B.S.I.E.
B.S.M.E.
B.Mus.
Complete sections below only if you are attending Commencement. Current mailing address Street
City
Phone
State
Zip Code
Indicate any special, disability-related seating arrangements you may require.
To help us pronounce your name correctly, please write a phonetic spelling of your name.
Are you an international student? No Yes–from what country? __________________________________________________________ If “Yes,” and you have family who will be coming from out of the country, please list them below. Name
Relationship to you
Country
6/08/2009
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