Complete and return if you are planning to graduate
 August 2007, December 2007 or May 2008

Please print legibly. The following information will be used to order your diploma, cap and gown, for the commencement program, and all news releases.

PRINT your full name exactly as you wish it to appear on your diploma.   (Nicknames are not acceptable.)

____________________________________________________________________________
First                                                              Middle                                                   Last   

All other names used while enrolled at UAMS:

_____________________________________________________________________________

MEASUREMENT for regalia: Please allow for variations in height and weight by the time that you graduate. Cap size will be measured by the Registrar’s Office. (Off-site students: measure the circumference of your head in inches; we will convert that to a cap size.)

_______________   _____________        __________________
   Height                           Weight                             Cap Size

NOTE:
Any changes to this information must be made by the registration that occurs before the semester in which you plan to graduate. Print this form and submit it to the Registrar’s Office, College of Nursing.

mgr