Personal DetailsPlease note that all information shared herein will remain strictly confidential. Any fields marked with * are required. First Name*Middle NameLast Name*Height*Please select an option<4'5"4'6"4'7"4'8"4'9"4'10"4'11"5'0"5'1"5'2"5'3"5'4"5'5"5'6"5'7"5'8"5'9"5'10"5'11"6'0"6'1"6'2"6'3"6'4"6'5"6'6"6'7"6'8"6'9"6'10">6'10"Weight (lbs)*Please select an option<160160-170170-180180-190190-200200-210210-220220-230230-250250-270270-300300-330330-360360-400>400Chest (in)Please select an option<40"40" - 44"45" - 49"50" - 59"60" - 69">69"Academic InformationJAG #*Please enter your JAG # beginning with J00Have you applied for graduation with the Registrar?*YesNoPlease visit http://www.southalabama.edu/departments/registrar/commencement/graduation_apply.html to apply for graduation.Your College*Numerous Colleges will be hosting their own commencement ceremonies this fall in addition to the virtual ceremony on December 6, 2020. Please identify the college you attend. Note: You will receive communication from your college with details about their specific ceremony. Pat Capps Covey College of Allied Health ProfessionsCollege of Arts and SciencesMitchell College of BusinessSchool of ComputingCollege of Education and Professional StudiesCollege of EngineeringCollege of NursingDegree*Please select oneBachelorMasterSpecialistPost-Grad Certificate - NursingDoctorDiscipline/Major Field of Study*Please select an optionAccounting (Drab)Biological Sciences (Gold)Business Administration (Drab)Clinical Mental Health Counseling (Gold)Communication (White)Computer Science (Gold)Education (Lt Blue)Educational Media & Technology (Gold)Engineering (Orange)English (White)Environmental Toxicology (Gold)Exercise Science (Gold)Fine Arts/Visual Arts (Brown)Health Education (Gold)Health Sciences-PA Studies (Gold)History (White)Information Systems (Gold)Instructional Design & Development (Gold)Marine Sciences/MC&RM (Gold)Mathematics (Gold)Music (Pink)Nursing (Apricot)Occupational Therapy (Gold)Psychology (Gold)Public Administration (Peacock)Sociology (White)Speech & Hearing Sciences (Gold)Speech Pathology (Gold)Sport Management (Gold)Not Listed - Master of Science (Gold)Not Listed - Master of Arts (White)If you are receiving degrees for multiple majors, please select the major of the group that you intend to participate with.Discipline/Major Field of Study*Please select an optionAudiology - D.A. (Sage)Basic Medical Sciences - Ph.D. (Royal)Business Administration - Ph.D. (Royal)Clinical & Counseling Psychology - Ph.D. (Royal)Communication Sciences & Disorders -Ph.D. (Royal)Computing - Ph.D. (Royal)Educational Leadership - Ed.D. (Lt. Blue)Instructional Design & Dev. - Ph.D. (Royal)Marine Sciences - Ph.D. (Royal)Medical Sciences - M.D. (Green)Nursing Practice - D.N.P. (Apricot)Physical Therapy - D.P.T. (Teal)System Engineering - Ph.D. (Royal)If you are receiving degrees for multiple majors, please select the major of the group that you intend to participate with.Complete Your OrderStudent Academic Apparel Keeper Package*Package includes cap, gown, tassel, and any applicable taxes Price: $57.20 Student Academic Apparel Keeper Package*Package includes cap, gown, tassel, hood, and any applicable taxes Price: $107.80 Student Academic Apparel Rental Package*Package includes cap, gown, tassel, hood, pre-paid return shipping label, and any applicable taxes. Please note: If you decide to drop your regalia off inside the USA Bookstore by the December 15, 2020, deadline instead of using the return shipping label - you will receive a $15 refund to the account you use below. Price: $125.00 Regalia Delivery*You have the choice to pick up your regalia at the USA Bookstore or have it shipped to your home - If you choose IN-STORE PICK UP: Your regalia order will be available for pick up starting November 16, 2020. - If you choose Ship-TO-HOME: Your regalia order will be shipped starting November 11, 2020.IN-STORE PICKUP: FreeSHIP-TO-HOME:Email Address*Your receipt will be sent to the email address provided. If you do not receive a receipt via email, please check your spam/junk folder, then email email@example.com. Enter Email Confirm Email Billing Address*IMPORTANT - Please be sure to enter the billing information that is on file with your credit/debit card provider. Street Address * Address Line 2 City * State * ZIP Code * Shipping Address*PLEASE BE ADVISED: You must provide a physical street address where your regalia can be received during the weeks of November 11, 2020 and November 16, 2020 - PO Boxes are not acceptable. NOTE: All orders must provide a physical shipping address due to the potential for COVID-19 to disrupt the distribution process Same as previous Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Credit/Debit Card* DiscoverMasterCardVisa Card Number * Expiration Date * Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Security Code * Cardholder Name * RENTAL AGREEMENT: You are about to RENT academic regalia from Graduate Supply House, Inc. Students are allowed to retain their caps and tassels as souvenir items. All other items must be returned to either the USA Bookstore, located in the Student Center, or to Graduate Supply House, using the included pre-paid return shipping label, by December 15, 2020. Failure to return your rented items will prevent your diploma/transcripts from being mailed, and you may be subject to penalty fees up to full replacement cost of the regalia.I have read and understand the Rental Agreement above.* Agree I understand that I must visit www.gradsupply.com/student-orders by November 1, 2020, to request a refund if I wish to cancel my order. I also understand that after the November 1, 2020, refund request deadline my regalia order becomes non-refundable.* Agree I have reviewed my responses and payment details above to verify accuracy.*- Please enter your (the graduate's) first and last names to verifyTotal Payment Amount $0.00 Once you click Submit, you will not be able to change or cancel your order.EmailThis field is for validation purposes and should be left unchanged. How PayPal Works Contact Us Call: 1-800-844-5323 Email: firstname.lastname@example.org © 2017 All Rights Reserved · Graduate Supply House, Inc.