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Important Diploma and Graduation Information Form
NOVATO UNIFIED SCHOOL DISTRICT
NOVA Independent Study
Senior Information Form
Height
Weight
_________ Yes, I intend to participate in the commencement ceremony. I understand that failure to return this
form by Friday, April 10, 2015, means that I cannot participate in the commencement ceremony. In
addition, checking yes means that I have agreed to participate and will attend the rehearsal and arrive to the
ceremony on time.
_________ I would like to purchase a graduation cap, tassel and gown (Pls include payment of $50.00).
_________ I would like to purchase a graduation cap and tassel only and borrow a gown (Pls include payment of $10.00).
_________ I would like to borrow a graduation cap, tassel and gown (and return all items).
Number of guests planning to attend the
graduation ceremony on June 10, 2015 at
6:00 p.m.
Please PRINT your name below as it should appear on your diploma.
Remember this is a legal document - do not use a nickname.
PRINT in clear BLOCK letters (use blue or black ink)
First Name
Middle Name
Student Signature
Date
Parent Signature
Date
Plans after graduation (circle one):
University
State College
Name of college:
Vocational/Trade School
Last Name
Junior College
Work
Military