Continuing Education at Kennesaw State University Graduation Registration Form

June 26, 2008
Kennesaw, Georgia

Note: Please use one form per graduate. Please register only if you are graduating from a Continuing Education certificate program this quarter.

*Indicates a required field.
*First Name:		*Last Name:
*Email:
*Address:
*City:		*State:
*Zip Code:		Country:
*Telephone:		Fax:

Registration

Please complete the following information.

*Program you are graduating from:

*Date program was completed (mm/yy):

*Number of guests (including yourself) attending: