Commencement - RSVP and Academic Regalia Order Form

Thank you for your interest in the Wayne State University School of Medicine Class of 2024 Commencement.

Please complete the entire form.

All fields must be completed or academic regalia cannot be ordered.

Any questions, please email Nicole Collier.

Fields with asterisks (*) are required.

Contact Information

First name *

Last name *

Email *

Telephone # *

Department *

Campus Address - Line 1 *

Campus Address - Line 2

Attendance

I will be attending Commencement *

Yes

Regalia Order

Regalia

I have my own academic regalia

Please order academic regalia for me

I am not attending

Gender

Male

Female

Jacket or Dress Size

Height

Cap Size (in inches)

e.g. 7 1/4 or 22 3/4in (If cap size is not known, please measure head circumference with a tape measure and include that information)

The information listed below must be complete or the appropriate "hood" from your conferring institution cannot be ordered and a WSU hood will be substituted.

Degree

D.O.

M.D.

Ph.D.

Other

If Other, please indicate

From which school was your degree granted?

Location of school - City

Location of school - State

If you earned a degree outside of the US, please indicate where

Parking

Do you need a parking pass? *

Yes (Parking passes will be sent electronically approx. a week before Commencement.)

Additional Notes

Thank you for your participation.

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