Graduation Form 2012
Exit this survey
1. Graduation Information Form For Registrar
*
1
. PLEASE NOTE: Any information you provide will be held securely on the University's student and alumni database. It is treated confidentially and with respect for the benfit of the University and its members in accordance with the Data Protection act of 1998. Data is used for student and alumni activities and programs involving academic and administrative departments, the promotion of student and alumni benefits and services including affinity products, and for fundraising initiatives. The data will not be disclosed to external organisations other than those acting as agents for the University, for example mailing houses for the mailing of alumni publications. If you have any further questions on this please email alumni@richmond.ac.uk
Please enter your:
Surname
First Name
I.D Number
PLEASE NOTE: Any information you provide will be held securely on the University's student and alumni database. It is treated confidentially and with respect for the benfit of the University and its members in accordance with the Data Protection act of 1998. Data is used for student and alumni activities and programs involving academic and administrative departments, the promotion of student and alumni benefits and services including affinity products, and for fundraising initiatives. The data will not be disclosed to external organisations other than those acting as agents for the University, for example mailing houses for the mailing of alumni publications. If you have any further questions on this please email alumni@richmond.ac.uk Please enter your: Surname First Name I.D Number
*
2
. Date of Birth (Day/Month/Year):
Date of Birth (Day/Month/Year):
*
3
. Nationality
Nationality
*
4
. Degree:
Degree:
BA
BS
MA
*
5
. Month Completing Degree Work
Month Completing Degree Work
September 2011 (for MAs only)
June 2011
July 2011
December 2011
May 2012
*
6
. Address to Receive Diploma: Your OU diploma will be mailed to this address in September 2012. Include Telephone Number and Email Address, (Not your Richmond email address)
Address to Receive Diploma: Your OU diploma will be mailed to this address in September 2012. Include Telephone Number and Email Address, (Not your Richmond email address)
Name:
Company:
Address 1:
Address 2:
City/Town:
State/Province:
ZIP/Postal Code:
Country:
Email Address:
*
7
. Permanent Address: Where Richmond will send important mailings. (Also include your Telephone Number)
Permanent Address: Where Richmond will send important mailings. (Also include your Telephone Number)
Name:
Company:
Address 1:
Address 2:
City/Town:
State/Province:
ZIP/Postal Code:
Country:
Email Address:
Phone Number:
8
. I would like to volunteer for Richmond as Alumni or Class Representative
I would like to volunteer for Richmond as Alumni or Class Representative
Yes
No
9
. Richmond has my permission to print my name, address, email, business details in publications (e.g. Newsletter and Alumni Directory)
Richmond has my permission to print my name, address, email, business details in publications (e.g. Newsletter and Alumni Directory)
Yes
No
Javascript is required for this site to function, please enable.