Commencement Information Form

Students must complete all coursework and degree requirements to participate in the graduation ceremony. TICKETS ARE REQUIRED FOR ALL GUESTS. Submit this form prior to picking up guest tickets.

*Required information

*ATTENDANCE:
Yes, I will be in attendance
No, I will not be in attendance

*NAME: (Please list your name EXACTLY the way you would like for it to be announced at the ceremony. Include pronunciation information below, if needed)

*10-digit MyMav ID# (beginning with 1000):

Pronounced:

*DEGREE:
B.A. in Kinesiology B.S. in Exercise Science B.S. in Athletic Training B.A. in Interdisciplinary Studies B.S. in Interdisciplinary Studies Kappa Delta Pi Honor Society	M.Ed. in Educational Leadership & Policy Studies M.Ed. in Curriculum and Instruction M.Ed.T. (Teaching) in Curriculum and Instruction M.S. in Physiology of Exercise

Please help us maintain our Employment Database by providing the following information.

Forwarding or permanent address:
STREET:
CITY:
STATE:     ZIP:
HOME PHONE:     OFFICE PHONE:
CELL PHONE:
EMAIL:
CURRENT/ANTICIPATED PLACE OF EMPLOYMENT:
POSITION TITLE:
INITIAL DATE OF EMPLOYMENT:
WORK ADDRESS:

If special assistance or accommodations are needed please contact Jayme Harlan at 817-272-2956.

»clear the form

You may be entitled to know what information The University of Texas at Arlington (UT Arlington) collects concerning you. You may review and have UT Arlington correct this information according to procedures set forth in UTS 139. The law is found in sections 552.021, 552.023 and 559.004 of the Texas Government Code. For more information, see our Internet Privacy Policy.