Doctoral Student Information for Commencement
Email completed form to the Office of Graduate Studies at
gradstudies@towson.edu
First name:
Middle name:
Last name:
Will you attend the commencement ceremony?
Phonetic pronunciation of your name (see guidelines on commencement webpage):
Phone number (home):
Phone number (cell):
Local address
Street:
City:
State:
Zip code:
Permanent address (if different from above)
Street:
City:
Name of your dissertation advisor:
Dissertation committee members:
Name of the program from which you are graduating:
Title of your
dissertation:
Prior degree(s):
Baccalaureate degree:
Name of academic institution/college:
Location (city/state/country):
Master’s degree:
Name of academic institution/college:
Location (city/state/country):
Yes
No
S
tate:
Zip Code:
1.
2.
3.
4.
5.
TUID:
TU Email:
Alternate Email: