Fillable 2015LG Graduate Registration (Central Connecticut State University)

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2015LG Graduate Registration (Central Connecticut State University)

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Name:
Preferred Name:
Student ID#:
CCSU Email: Cell Phone:
Mailing Address:
- Student Registration -
6th Annual CCSU Lavender Graduation Ceremony
Friday, May 1st, 2015 4:00pm - 5:30pm | Marcus White Living Room at Central CT State University
Reception to follow in Semester Hall in Student Center
~~~~~~~~
* Lavender Graduation is annual event to celebrate the unique achievements and contributions of CCSU's Lesbian, Gay,
Bisexual, Transgender, Queer, and active Ally graduating seniors. In this supplemental celebration our Lavender Graduates
recieve thier Rainbow Tassels & Cords to wear at formal commencement excersises and also recieve thier Lavender Graduation
Certificates.
Complete & Submit the registration form below to be added to the Lavender Graduation 2015 Ceremony materials.
Academic Advisor: Advisor's Email:
Degree Program Title:
B.A.
B.S.
Other
M.A.
M.S.
Degree Type Earned:
Major Program:
Minor:
Major Program 2:
Minor 2:
How many Guests will join you in
your party for the Ceremony?:
How many Guests will join you in
your party for the Reception?:
YES
NO
Will you attend the Ceremony?
Will you attend the Reception?
YES NO
Please provide a brief bio telling us alittle about yourself?
For example you can share...
How you identify if you are comfortable doing so. What were some of your activities and involvement on campus?
Any achievements, major accomplishments, or contributions thats you are particularly proud of over your time here?
Favorite memories? Any shout outs or thanks you's to those who helped you along the way? * You can attach a file
or type / copy & paste into the text area below.
Short Bio:
Would you Like to sign up for the CCSU LGBT Alumni List?
Yes Please!
No Thanks
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2015LG Graduate Registration (Central Connecticut State University)

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Completed 20 July 2020

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