Kente Commencement Ceremony

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					                                                                   Kente Commencement Ceremony
                                                                                   West Chester University
                                                                                                 Fall 2011



                 Kente Commencement Ceremony Registration Form
Name: ______________________________                   WCU ID #: _________________________
Major: _______________________________________________________________________
Minor: ______________________________                  Concentration: _______________________

Please provide the following contact information: (please do not use your campus address, unless you are
continuing on to graduate school at WCU)
Street Address:
_____________________________________________________________________________
City: _______________________              State: _______           Zip Code: _________________
WCUPA Email Address: ________________________________________________________
Personal email address (not WCUPA): _____________________________________________
Home telephone #: __________________ Cell phone #: _____________________________

Who would you like to thank, or dedicate your stole to during the ceremony? (Please note this
information will be printed in the Kente Commencement Ceremony program booklet)
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________

What is MOST likely to be your plan upon graduation? (Please note this information will be announced         Kente Commencement Ceremony
during the Kente Commencement Ceremony)
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
_____________________________________________________________________________
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