If you are graduating, please submit the following information.

NOTE: Submission of the form does not automatically add your name to the graduation candidate list. The list is updated every Friday evening. Check weekly to see if your name is included.

First Name
Last Name
Middle Name/Initial
Student ID#
(NOT your social security number)
Prefered Email Address   (Optional)
    Address to send diploma to:
Street Address
City
State
Zip Code
Phone
    Campus I will be graduating from: Eau Claire River Falls
    I plan to attend the ceremony: Yes No
    I want my name in the graduation brochure Yes No
    Program I am graduating from
    Month I plan to complete my program

    Please let us know any additional comments or questions you have.
Comments   (Optional)