Nursing

 

  
   

Online Convocation Card Form
for the MS Graduate

Fay W. Whitney School of Nursing
Convocation Ceremony
Saturday, May 10, 2008 / 1:30 p.m.

If you plan to participate in the School of Nursing Convocation ceremony, please submit this form no later than May 10, 2008.

This information will be read at the Fay W. Whitney School of Nursing Convocation ceremony. The information will be printed onto cards by our office. We will distribute the cards back to you the day of the ceremony. When it is your turn to walk across the stage, you will present your card to the faculty member who is reading the information.
NAME
First Name
 		Last name
Please type in phonetic spelling if your name is often mispronounced :
HOMETOWN
Hometown City
 		Hometown State
Please type in phonetic spelling if your hometown is often mispronounced :
PROGRAM OPTION COMPLETING
Family Nurse Practitioner
Nurse Educator
Community Health Clinical Specialist
THESIS/NON-THESIS CHAIR
Please type the name of your chair:
 
THESIS/NON-THESIS TITLE
Please type the title of your thesis/non-thesis, and identify which option is completed - the Thesis or Non-Thesis:

 
PLANS/EMPLOYMENT after Graduation
Provide brief information regarding your plans/employment after graduation - if you have accepted a position and where, OR where you plan to continue to work

Thank You!