SPRING 2003 GRADUATION INFORMATION

GRADUATION ATTENDANCE

Masters and Bachelors Degree Candidates

SCHOOL OF NURSING

TEXAS HALL

Thursday, May 8, 7:00 P.M.

Please submit using the "Submit" button below,

or return this form by April 21, 2008 to the 6^th Floor Lobby Receptionist

Oretha Wilson, UT Arlington School of Nursing,

Box 19407, Arlington, TX 76019

FAX to: (817) 272-5006

You must return your RSVP prior to picking up guest tickets.

Yes, I will be in attendance. (Must Return this Form)

No, I will not be in attendance

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Please PRINT or TYPE all information. Please list your name exactly the way you would like for it to be announced at the ceremony. (Include pronunciation information, if needed.)

NAME:

(Pronounced: )

Degree:	Bachelor of Science in Nursing	RN-BSN in Nursing
	Master of Science in Nursing	Formal Post-Masters Certificate	PhD in Nursing

(MSN & Post MSN) Specify Specialty: ACNP, ACPNP, ANP, ENP, FNP, GNP, PNP, Admin., MSN/MBA, MSN/MPH, MSN/HCAD), APMHNP (Adult), FPMHNP (Family), PMHNP)

Honors: Sigma Theta Tau

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Please assist us in maintaining an up-to-date employer database by completing the information below.
Forwarding or permanent address:
(for Graduation Photographer)	Where you will work after Graduation:

Street	(ie:Parkland, Methodist-Dallas, etc)

City State Zip	Specialty Area (ie: OR, ER, Pedi, etc.)

Telephone Numbers: (home)
(office)