Graduation Information Form

Graduation Information Form
Basic Personal Information
Title:
required
First Name:
required
Preferred First Name:
required
Last Name:
required
Suffix:
Maiden Name:
E-mail (other than my.westga.edu):
required
Home Phone Number:
Home Cell Number:
Address (after graduation)
Street Address:
required
Address (after graduation) Line 2:
City:
required
State:
Zip:
required
Student Information
Student ID#
required
Anticipated Graduation Semester
Anticipated Graduation Year
Family Information
Parents'/Guardians' Names:
Parents'/Guardians' Address
Parents'/Guardians' Phone Number
Spouse First Name:
Spouse Middle Name:
Spouse Last Name:
Spouse Preferred Name:
Children's Names and Birthdates
Spouse Maiden Name:
Is your spouse one of the following?

If they are an alum, please provide their class year(s). If they are a current student, please provide their anticipated graduation year.
Involvement Information
Please select any NCAA athletic teams you were a part of at UWG:
Use Ctrl or Shift keys to multi-select.
Please select any Social Fraternities and Sororities you were a part of at UWG:
Use Ctrl or Shift keys to multi-select.
Please select any Honor Societies and Professional Fraternities you were a part of at UWG:
Use Ctrl or Shift keys to multi-select.
Please select any other Clubs/Organizations you were a part of while at UWG:
Use Ctrl or Shift keys to multi-select.
Please select any Residence Halls you lived in during your time at UWG:
Use Ctrl or Shift keys to multi-select.
Please select any UWG-Sponsored Scholarships you received:
Use Ctrl or Shift keys to multi-select.
If part of your involvement at UWG was not listed in any of the sections above, please provide that information here.