Graduation Application For June 2008 Graduation If you would like to authorize someone else to pick up your diploma on your behalf, please make sure you put this request in writing with your DSI, the name of the individual, and your signature. Make sure this request is given directly to Juline Robinson in Room 319. Student Information * Major: * DSI:        Name as you would like it to appear on your diploma: * First Name: * Middle Name: * Last Name:         My diploma should be mailed to: * Address * City      * State * Zip Code Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Puerto Rico Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington Washington, D.C. West Virginia Wisconsin Wyoming      * Phone Number ( e.g.(xxx)xxx-xxxx - no spaces )     * Email Address