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Commencement Participation Form 

This form is for use by GSU alumni who graduated from their programs in the Summer or Fall terms in 2011.

Please complete and submit the form below to assist the Office of the Registrar in preparing for your participation in commencement on May 19, 2012.

* indicates required information

*Your first name:  
Your middle name:  
*Your last name:  
*Phonetic spelling of your name:   
*Your GSU ID number
or the last 4 digits of your Social Security Number: 		  

*Will you participate in the commencement?

  
*Your preferred email address:   
*Your daytime phone w/ area code:   
*Your street address:   
Street address line 2 (if needed):   
*City:   
*State:  
*Zipcode:  

Thanks for completing this form!