2017-2018 Registration Form
Please note: The Lavender Graduation ceremony may be filmed or recorded.
Name *
*This is the name that will appear on your Lavender Graduation certificate
Your answer
Gender Pronouns *
Ex. she/her/hers, they/them/theirs
Your answer
CWID: *
Your answer
Email Address *
Your answer
Graduation Month *
Degree Earned *
Major(s)/Program(s) of Study *
Your answer
Minor(s)/Certification(s)
Your answer
How many guests do you anticipate bringing to this event? *
Your answer
Do you or any of your guests have additional access needs? *
Your answer
Do you or any of your guests have food allergies? *
Your answer
What song would you like us to play as the Graduates process into the auditorium? (optional)
Your answer
Would you like to have your photo and program information displayed in the 2018 Lavender Graduation Graduates slideshow that will be displayed in the auditorium before and after the graduation ceremony? *
Note: If you would like to have your photo appear in the slide show please please email a photo of yourself to kdwalter@sa.ua.edu
Please tell us a bit more about yourself. Have you received any honors during your time at UA? Have you been a member of a student organization, held a leadership position within a student organization, been a member of an honor society, etc.? Please designate specific membership years when appropriate.
Note: The information you provide here will be included in the 2017 Lavender Graduation program.
Your answer
Would you like to be considered for the the role of 2018 Lavender Graduation Student Speaker? *
The Lavender Graduation Planning Committee will select the 2017 Lavender Graduation student speaker based on the OPTIONAL essay provided by each student interested in serving in this role. The individual chosen to serve as the 2017 Lavender Graduation Student Speaker will be contacted by a member of the committee by April 14th.
If yes, please briefly describe why you think you would be the best choice to serve as the 2018 Lavender Graduation Student Speaker. Please also describe the theme and spirit of the address you would like to deliver to your peers and event attendees. A script is not necessary but an outline or robust description of your address is preferred.
(500 words maximum)
Your answer
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