2024 Latinx Student Graduation and Transfer Ceremony Official Participation Form
Date: Friday, June 21st
Time: 6pm-8pm
Location: TBA

Please fill out this form to confirm your attendance/participation to the Latinx Graduation!
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Email *
DeAnza Student ID *
First Name *
Last Name *
Full name as you want it to appear on graduation certificate *
Email *
Best contact number including area code: *
May we contact you via text message for any communication regarding the Latinx Graduation during and after graduation? *
Are you receiving your AA/AAT/AS/AST?
Choose all that apply:
Choose which AA/AAT/AS/AST you are receiving:
If you did not see your AA/AS Degree above, write it in here:
Are you receiving a Certificate of Achievement?
Clear selection
If you are receiving a Certificate of Achievement,  please specify (skip if this does not apply to you)
As this is the Latinx Grad, we would like to know where your roots are from. Please tell us where you or your family are from! (Country)
Are you transferring in Fall 2024? *
If you are transferring to a UC, choose below:
If you are transferring to a CSU, choose below: 
If you are attending a Private/Out-of State School, please write it in here:
Name of academic advisor or counselor who assisted you with your graduation application? (if applicable)
*
How many guests will join you for the ceremony? An estimate is OK *
A copy of your responses will be emailed to the address you provided.
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