Application for Graduation and Commencement for AA and BS

To ensure that your name appears in the graduation program and that you can walk across the stage with your classmates, please print or type the information requested below and carry or email this form to Registrar & Academic Services. Please note: your School of Mines email account is used for all University correspondence.  

Your full legal name is required.  Please enter your legal name below.  Your diploma will be sent in the name listed in your WebAdvisor account. Please contact the Registrarís office if this information needs to be updated.

NAME:       ID #:
  (First) (Middle) (Last)      

YOUR ANTICIPATED GRADUATION DATE IS:  May 2014    August 2014    December 2014

Please give us the correct address to mail your diploma:

(Street)
     
(City) (State) (Zip)

(The Post Office does not forward the diploma to your new address, so be sure to let us know if you moved.)  Please email your change of address to Diana.OToole@sdsmt.edu.  You must email me to make this change.  A replacement diploma is $40.00.

MAJOR(S):

 
MINOR(S):
 
CERTIFICATE(S):
 
 

Advisor Name:

HOMETOWN where you graduated from High School: STATE:
(Please indicate home school, GED, etc. if high school is not applicable)

HIGH SCHOOL:
  (Name) (City) (State)

HOMETOWN NEWSPAPER(S) for press release regarding your graduation (please include city/state of newspaper):

Permission to release hometown:      YES  NO

Permission to release honors:      YES  NO

Permission to print name on commencement program:      YES  NO

Are you a veteran?      YES  NO


Are you planning on participating in the commencement ceremony?      YES  NO

HOW MANY GUESTS DO YOU EXPECT TO ATTEND COMMENCEMENT? 
(Please include yourself in this number)

HOW DO YOU WANT YOUR NAME ANNOUNCED? (Please provide pronunciation guidance. This includes your middle name(s) which will be read unless you indicate otherwise.)


(ie: Amiotte sounds like amy ott, Mahon sounds like man, or Smoragiewicz would be smor ga wits)