Traditional Undergraduate Graduation Application

Graduation Application: Part 1
First Name *
Last Name *
ID# *
Advisor *
Cell # (enter ten zeros if cell is not available) *
Permanent Telephone # *
Non-CU E-mail Address *
Degree *
Major or Concentration *
Minor(s) (enter "None" if a minor is not required for your program) *
Education Program? *
I plan to complete graduation requirements by *
DIPLOMA ORDER
Name to be printed on diploma *
Address to mail diploma
Street Address *
City *
State *
Zip Code *
I plan to participate in the commencement ceremony in May *
CAP AND GOWN ORDER: Complete this portion if you are planning to march in the May Commencement Ceremony.
Height (with shoes)
Weight
Cornerstone is committed to making this day memorable and accessible to all. If you have any special needs for yourself or a guest, please contact the Provost's Office at (616) 222-1340.

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