First name

Last name

Page 1 of 1

In order to receive points for your participation, please fill out the information below. All of the information MUST be filled out.

1. Name [First and Last].

2. ASU email address.

3. Expected Graduation Date [Month/Year]

4. Please select which of the following events you attended for Convocation. 10:00 a.m. Convocation Ceremony 7:30 p.m. Event Both

5. Please type your initials below. This serves as your signature confirming that you did in fact participate in the events selected for 2009 Convocation.

Please copy the word in the above image.