Graduation Participation Form

If you are planning to complete your program in Spring 2013, please complete this form by March 4, 2013. If you are slated to complete your program this semester but are not planning to graduate, please notify The Office of the Registrar immediately.

Please return this form by Thursday, March 4, 2013.

Note: Fields marked with an asterisk ( * ) are required.

STUDENT INFO
Name as it should appear in the program and on the diploma
Name must be your legal name / all middle names must be used, no middle initials or nicknames are allowed.
* First Name:
Middle Name:
* Last Name:
IF YOU PLAN TO PARTICIPATE IN COMMENCEMENT ON MAY 18, 2013, YOU WILL NEED TO SEE THE REGISTRAR'S OFFICE TO ORDER YOUR CAP AND GOWN.
* Hometown:
* Home State:
* Home Country:


Parent/Guardian Information
CIM will be sending information to your parents or guardians regarding Commencement activities, including the launch Commencement Site on cim.edu Please complete the following so we can be sure they are informed.
Names of Parents or Guardians:
E-mail Address(es):
Street Address(es):
Include street, city, state, postal code, and country as applicable


Previous Degrees
Degree
 School
 Year
Degree
 School
 Year
Degree
 School
 Year


Contact Address
In order for the Alumni Office to have correct records, we request that you fill out the address section below with the address and phone of someone who is likely to know your whereabouts. This information will help us immensely in keeping track of you and your successes.
* Name:
* Street Address:
* City:
* State:
* Postal Code:
* Country:
* Phone:
* E-mail:


Post-Graduation Info
* What are your plans for next year?


Submit Info

Student Affairs

David Gilson

Associate Dean for Student Affairs

216.791.5000 ext. 299

david.gilson@cim.edu

Caryn Reynolds

Administrative Assistant to the Dean

216.791.5000 ext. 273

clr87@cim.edu

April Martin

Resident Director, Cutter House

aem77@cim.edu

Student Groups

Student Government Association

SGA page

dwg@cim.edu

Mu Phi Epsilon

MPE page

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