USA – Old Form (Last Used Spring 2020)

Personal Details

Please note that all information shared herein will remain strictly confidential.

Any fields marked with * are required.

First Name*

Middle Name

Last Name*

Height*

Weight (lbs)

Academic Information

Please select one*

IMPORTANT: Post-Grad Certificate Participants are allowed to participate in the Nursing Ceremony only.

I am a Student
I am a Post-Grad Certificate Participant - Nursing Only
I am a Faculty Member

JAG #*

Please enter your JAG # beginning with J00

Have you applied for graduation with the Registrar?*

Yes
No

If you do not apply for graduation with the Office of the Registrar, then you will not be allowed to participate in the ceremony.

Please visit http://www.southalabama.edu/departments/registrar/commencement/graduation_apply.html to apply for graduation.

Commencement Weekend includes the Main University Commencement Ceremony as well as individual ceremonies for each College/School. The entire graduating class and their guests will gather for the Main University Commencement Ceremony, at which President Tony Waldrop will confer the degrees upon all graduating students, the commencement speaker will deliver an address, and doctoral students will receive their diploma covers.

Will You be Attending the Main University Commencement Ceremony?*

Yes

No

Degree*

College/School*
Please Select the College/School you will graduating from

Discipline/Major Field of Study*
If you are receiving degrees for multiple majors, please select the major of the group that you intend to walk with.

Besides the Main Commencement Ceremony, the University of South Alabama also has individual college/school commencement ceremonies . At the individual College and School ceremonies, the names of all degree candidates will be announced and each graduating student will walk across the stage. Bachelor candidates will receive their diploma cover and honor cords, as applicable. Master and Specialist candidates will receive their diploma covers. Doctoral students will be hooded at these ceremonies.

Will you be Attending the College of Allied Health Professions Commencement Ceremony?*

YES

No - Only attending the Main Commencement Ceremony

Will you be Attending the College of Arts & Sciences Commencement Ceremony?*

YES

No - Only attending the Main Commencement Ceremony

Will you be Attending the College of Business Commencement Ceremony?*

YES

No - Only attending the Main Commencement Ceremony

Will you be Attending the College of Education Commencement Ceremony?*

YES

No - Only attending the Main Commencement Ceremony

Will you be Attending the College of Engineering Commencement Ceremony?*

YES

No - Only attending the Main Commencement Ceremony

Will you be Attending the College of Nursing Commencement Ceremony?*

YES

No - Only attending the Main Commencement Ceremony

Will you be Attending the School of Computing Commencement Ceremony?*

YES

No - Only attending the Main Commencement Ceremony

Will you be Attending the College of Education Commencement Ceremony?*

Yes

No - Only attending the Main Commencement Ceremony

College/School Ceremonies*
Please Indicate which individual College/School Ceremony you will be attending

College of Allied Health Professions

College of Arts & Sciences

College of Business

College of Education & Professional Studies

College of Engineering

College of Nursing

School of Computing

None - Only the Main University Commencement Ceremony

College/School Ceremonies*
Please Indicate which individual College/School Ceremony you will be attending

College of Allied Health Professions

College of Arts & Sciences

College of Business

College of Education & Professional Studies

College of Engineering

College of Medicine

College of Nursing

School of Computing

None - Only the Main University Commencement Ceremony

Highest Earned Degree*

Discipline*

If Other, please specify your Discipline*

Location of Institution Attended*

Select Your Institution*

Alabama A&M

Alabama State University

Auburn University

Auburn University at Montgomery

Jacksonville State University

Samford University

Troy University

University of Alabama

University of Alabama at Birmingham

University of Alabama at Huntsville

University of North Alabama

University of South Alabama

University of West Alabama

Select Your Institution*

Arkansas State University

Arkansas Tech University

Harding University

University of Arkansas - Fayetteville

University of Arkansas - Fort Smith

University of Arkansas - Little Rock

University of Central Arkansas

Select Your Institution*

Florida Atlantic University

Florida International University

Florida State University

Nova Southeastern University

University of Central Florida

University of Florida

University of Miami

University of North Florida

University of South Florida

University of West Florida

Select Your Institution*

Emory University

Georgia Institute of Technology

Georgia Southern University

Georgia State University

Kennesaw State University

University of Georgia

Valdosta State University

Select Your Institution*

Eastern Kentucky University

Kentucky State University

Morehead State University

University of Kentucky

University of Louisville

Western Kentucky University

Select Your Institution*

Louisiana State University - Baton Rouge

Louisiana Tech University

Loyola University - New Orleans

McNeese State University

Northwestern State University of Louisiana

Southeastern Louisiana University

Tulane University

University of Louisiana - Lafayette

University of Louisiana - Monroe

University of New Orleans

Select Your Institution*

Alcorn State University

Belhaven University

Delta State University

Jackson State University

Millsaps College

Mississippi College

Mississippi State University

Mississippi University for Women

Mississippi Valley State University

University of Mississippi

University of Southern Mississippi

William Carey University

Select Your Institution*

Columbia College

St. Louis University

University of Missouri - Columbia

Washington University - St. Louis

Select Your Institution*

Clemson University

Coastal Carolina University

College of Charleston

University of South Carolina - Columbia

Select Your Institution*

Austin Peay State University

Christian Brothers University

East Tennessee State University

Middle Tennessee State University

Rhodes College

Tennessee Technological University

University of Memphis

University of Tennessee - Chattanooga

University of Tennessee - Knoxville

University of Tennessee - Knoxville

University of Tennessee - Martin

Vanderbilt University

Select Your Institution*

Baylor University

Lamar University

Rice University

Sam Houston State University

Stephen F. Austin University

Texas A&M University

Texas Christian University

Texas Tech University

University of Houston

University of North Texas

University of Texas - Arlington

University of Texas - Austin

University of Texas - Dallas

University of Texas - El Paso

University of Texas - San Antonio

Institution Attended*

Complete Your Order

Student Academic Apparel Keeper Package*
Package includes cap, gown, tassel, and any applicable taxes and shipping charges.
Price:

Student Academic Apparel Keeper Package*
Package includes cap, gown, tassel, hood, and any applicable taxes and shipping charges.
Price:

Student Academic Apparel Rental Package*
Package Includes cap, gown, tassel, hood, and any applicable taxes and shipping charges.
Price:

Faculty Academic Apparel Rental*

Complete Outfit (Recommended) +$81.40

Gown, Cap, & Tassel Only +$40.70

Hood, Cap, & Tassel Only +$62.70

Hood Only +$40.70

Cap & Tassel Only +$22.00

Faculty Academic Apparel Rental*

Complete Outfit (Recommended) +$85.80

Gown, Cap, & Tassel Only +$42.90

Hood, Cap, & Tassel Only +$64.90

Hood Only +$42.90

Cap & Tassel Only +$22.00

Faculty Academic Apparel Rental*

Complete Outfit (Recommended) +$90.20

Gown, Cap, & Tassel Only +$45.10

Hood, Cap, & Tassel Only +$67.10

Hood Only +$45.10

Cap & Tassel Only +$22.00

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 service@gradsupply.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 *

Credit/Debit Card*

American Express
Discover
MasterCard
Visa
Supported Credit Cards: American Express, Discover, MasterCard, Visa
Card Number * Expiration Date * 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 Graduate Supply House representatives immediately following your ceremony. Failure to return rented items could result in a hold on your student account and penalties for full replacement value.

I have read and understand the Rental Agreement above.*
Agree

I have reviewed my responses and payment details above to verify accuracy.*
Yes

Total Payment Amount
$0.00
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