December ceremony graduation form

DECEMBER APPLICATION FORM: 17 December 2008

Application for Conferring of Degree, or Award of Diploma or Certificate at the December Graduation Ceremonies on 17 December 2008.

This application from must be submitted online by Friday 14 November 2008.

Note: Your application form will be sent automatically to the Graduation Office.

PERSONAL DETAILS


Student ID No

Last/Family Name	First/Given Name(s)

Date of Birth

NAME ON CERTIFICATE

Your name will be printed on your certificate exactly as it appears in the University's student record system. If you wish to change your name you must do so on the appropriate Change of Name form available from the Enrolment Services. Name changes will not be accepted without proof. This must be done at least four weeks prior to the Graduation Ceremony. Name changes made after this will incur a $50 charge if the parchment needs to be reissued.

MAILING ADDRESS

All correspondence will be sent to your mailing address as recorded in the student record system. You must keep the address up to date or you will not receive vital information regarding the ceremony or post-graduation information. If you will be returning to an overseas home address please change this to your mailing address at the Enrolment Services.

CONTACT NUMBER

Please provide contact details


Phone Contact (Home)	Phone Contact (Work)

Email Address

DEGREE/DIPLOMA/CERTIFICATE DETAILS

Award 1: Degree/Diploma/Certificate: (eg Bachelor of Science, Master of Nursing, Graduate Diploma in Legal Studies)
If you are applying to graduate from more than one award, the award listed as award 1 will be the degree/diploma/certificate you will cross the stage with. Awards listed under 2 and 3 will be announced at the same time.

Award 2

Award 3

Faculty

I completed/Anticipate completing my studies on (date)

SECTION A - CEREMONY DETAILS

Please indicate your choice by using the appropriate pop up menu

If you have elected to attend a ceremony you do not need to complete a method of collection in Section B as you will be presented with your parchment at the graduation ceremony. Please ensure that the Enrolment Services has your current mailing address in order for you to receive further information about your Graduation Ceremony.
If you have elected to have your degree conferred in absentia you will not have the opportunity to attend a graduation ceremony. Please indicate how you would like to receive your parchment in section B.

SECTION B - METHOD OF COLLECTION

If you elect to collect your parchment from the Graduation Office in the Student Centre it will be available for collection after the date of the ceremony. You will need to produce photo ID in order to collect your parchment.
If you elect to have your parchment posted to you, you will need to submit a $10 payment for postage within Australia and $A30 for overseas addresses. You may pay at the Cashiers Office or forward a cheque or money order made payable to Flinders University.
If you elect to authorise an agent to collect your parchment, your agent will need to produce Photo ID in order to collect your parchment.

Name of Agent

SECTION C - ACADEMIC DRESS HIRE

Please note: In order to participate in a Graduation Ceremony all Granduands must wear the following Academic Dress.
Please reserve the following Academic Dress for me:

Gown	$29.50 incl. GST	or	I will provide my own gown
Hood	$13.00 incl. GST	or	I will provide my own hood
Mortar Board	$7.50 incl. GST	or	I will provide my own mortar board

If you are graduating in absentia please indicate that you will provide your own academic dress in the fields above.

Height in centimetres:

(Required for gown size)

Head circumference:

Required for mortar board size)
Please use a tape measure to measure around your head at forehead level

SECTION D - CEREMONY GUEST TICKETS

Please note: Students must nominate the total number of tickets requested, including the minimum 5 tickets you are automatically entitled to. Graduands do not require a ticket. Request for more than 5 guest tickets must be made in justified in the box below. Unfortunately requests for more than 5 tickets cannot be guaranteed.

Please reserve a total of guest ticket(s) for me
If 6 or more tickets are required please outline your request.

Queries should be directed to the Graduation Office. Phone (08) 8201 5069; Fax (08) 8201 2580; Email grad.office@flinders.edu.au