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Graduation Form

1. What is your completion date?

This means that you have completed all assignments in iTPC, exams, and internship hours. The final day of your hours and completion is your graduation date.

2. How do you want your name on your diploma?

Please enter your name exactly as you would like it to be printed on your diploma.

3. What program did you complete?

4. Please include your contact information for the Graduate Website.

Enter your information exactly as you want it to appear on our website. All information will be public; include only information you want others to see.

First name:
Last name:
Title:
Street address:
City, State/Province:
ZIP/Postal code, Country:
Phone:
Email:
Studio name:
Studio phone number:
Studio website:

5. Would you like to add your bio to our website? If so, please enter it here. If not, please say no.

You can also include a photo. If you are adding a photo, it must be in JPG or PNG format, 300x300 pixels minimum, and no larger than 5MB in order for it to be added to the website. Please make sure your name is part of the filename.

Photo

6. Please let us know where you would like your diploma sent.

It can take up to 30 days to receive your diploma.

Leave this empty:

Your legal name

Your email address

Please Confirm full name and signature.

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Timestamp

Audit

2017-02-07 13:47:52 MDT

Graduation Form Uploaded by Rachel Taylor Segel - forms@thepilatescenter.com IP 50.194.156.193, 50.194.156.193