28TH ANNUAL LATINO COMMENCEMENT CELEBRATION
CALIFORNIA STATE UNIVERSITY FRESNO
2004 APPLICATION
Deadline: March 12, 2004
Participation Fee $30.00. Late application fee will be $40.00. Fee must accompany your application. APPLICATIONS WILL NOT BE ACCEPTED
AFTER MARCH 26, 2004. Students applying after March 12, 2004 will not have their picture appear in the yearbook, but they may participate in the
celebration. Make checks payable to LATINO COMMENCEMENT CELEBRATION. Submit application to the Latino Commencement Celebration
office, Social Science Building, Room 108 or mail application to Dr. Luz Gonzalez, California State University, Fresno, College of Social
Sciences, 5340 North Campus Drive SS 91, Fresno, CA 93740-8019. There will be a $10.00 fee for returned checks.
ABSOLUTELY NO REFUNDS.
APPLICATION MUST BE TYPED
First name Last name E-mail Address
Current address City/State Zip
Social Security Number
Current home telephone number (include area code)
Cell Phone number
The following to be read on stage in English
or Spanish
Are parents married?
This information needed for data entry only.
Father’s First Name Father’s Last Name
Mother’s First Name Mother’s Last Name
If different from Father’s
IF APPLICABLE
Spouse’s First Name Spouse’s Last Name
Degree receiving today:
BS
BA
MA
MS
MBA
MFA
MPT
MPA
MPH
MSW
Ed.D.
Major
(e.g. Liberal Studies, History, Theater Arts, etc.)
Please do not list dual major, option, emphasis or minor; list formal degree only.
National Heritage
(e.g. Mexico, Puerto Rico, El Salvador, Brazil, Peru, etc.)
This information will be used to select the colors of your sash.
You can go to www.csufresno.edu/lcc to fill out this form on line.
