Commencement Speaker Nomination Form

"*" indicates required fields

Degree Date

Name*

First Last

Address

Street Address City State ZIP Code

Student Email*

Phone*

Student ID*

Major*

Academic Honors/Dates:

(such as Deans’/President’s List, Honor Society, etc.)

College Activities/Dates*

Community Activities/Dates*

Student's Statement*

Explain why you want to be selected as the Commencement Speaker

Student's Biographical Sketch*

Please provide the name and email address of the faculty member who will be providing your recommendation.

Faculty Name*

Faculty Email*

Student Signature*

CAPTCHA

Name

This field is for validation purposes and should be left unchanged.

Camden County College