Commencement Ceremony Participation Form

Registrar Commencement Ceremony Participation -(75)

This form must be completed and received by the Office of the Registrar prior to commencement.

Applicant Information
Name*
Name*
First Middle Last
Maiden Name
Pronunciation of Name:
(example: Elsbury is pronounced ELZ-berry)
HuskyNet User ID #*
(I don't know my Huskynet User ID#)
Personal Email*
Enter Email Confirm Email
Phone
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Do you consider yourself to be of Hispanic/Latino descent?:
- Yes
- No
Please select one or more ethnicities
- American Indian or Alaskan Native
- Asian
- Black or African American
- Native Hawaiian or Other Pacific Islander
- White
This information is used only for statistical purposes and to provide information required by the U.S. Department of Education under the provisions of Title VI of the Civil Rights Act. You are not required to answer; however, an answer would be greatly appreciated. Houston Baptist University provides educational opportunities without regard to disability, age, race, sex, and national or ethnic origin.
Participation in Commencement Ceremony
Ceremony Date*
Ceremony Year*
Commencement Participation*
Diploma Name (Print your name EXACTLY how you want it on your diploma. Use upper & lower case letters.)

Applicant Information