Faculty and Administrator Regalia Form - Commencement Archive 2014-2019 -

Are you a faculty member or administrator? (required) *

Yes

Students on Danforth Campus may place regalia orders here Danforth Campus
Students on the Medical Campus may place regalia order here Medical School Campus

First Name *

Last Name *

Email Address (required) *

Confirm Email Address (required) *

Phone Number *

Medical School Affiliation (Please select specific program)

Please provide the name of the contact in your department who handles logistics around graduation. We will include this person in messages regarding your participation.

Department Contact Name

Department Contact Email

Confirm Department Contact Email

Department Contact Phone Number

Section B: Intent to Participate

Participation (You must define your participation.) *

I will participate ONLY in the all-university Commencement in Brookings Quadrangle.

I will participate ONLY in an individual school or program recognition ceremony.

I will participate in BOTH the all-university Commencement AND an individual school or program recognition ceremony.

If "Other," please describe

Your Institution/University name (where highest degree was earned) *

Your Institution/University Address (City, State/Province/Region, Country) *

Section B: Intent to Participate

Section C: Regalia Rental