Winter Graduation Ceremony
The Dome, Brighton
Thursday 21 January 2016
Please complete this form and send to: Sara Tooth, Room 200, Sussex
House, University of Sussex, Falmer, Brighton, BN1 9RH.
Email: s.tooth@sussex.ac.uk
General Information
Please complete the boxes below:
The names you complete below will be those that are recorded on your
certificate and on University records unless you indicate otherwise. Once
your award has been conferred we cannot change your name on our records
or on your certificate
Please indicate accents, hyphens etc. Please use mixed case e.g.
“Sussex”. Full names should be supplied not initials.
Surname/Family Name
Forenames
School (or
equivalent)
Programme
Degree/Award
Please PRINT your address, telephone No. and email address where we can
contact you regarding graduation
Address:
Address should be valid from now until 12 February 2016
Home Telephone No:
Email address:
Mobile No:
Please indicate your intention by ticking the relevant boxes below:
 10.00 am
I wish to attend graduation in person on 21 January 2016
Or
I shall not be attending graduation in person on 21 January 2016
 10.00 am
I note that I will be able to attend a later ceremony. My certificate should be sent to the above
address after the ceremony. I understand that if I do not provide an address by returning this
form, the University will hold my certificate until I do so.
Tickets
I do not require any guest tickets NB: I shall be unaccompanied

Or
I wish to purchase the following guest tickets (I note that only my graduand

ticket is free, all adult guest tickets are £25 each)
Graduands ticket (free)
No. of
tickets
Total
cost
1
NIL
Guest tickets at £25.00 each
Free Child guest tickets (12 years
and under)
NIL
* No ticket required for children under 2 years
Totals
£
Tickets order d should be paid for on graduation day when you collect your
tickets. Please note that you can only pay by card or cash on the day.
Academic dress
Please note you must wear full academic dress in order to attend the Graduation
ceremony (see graduation webpage)
It is your responsibility to hire or purchase your gown from the University
robe makers Ede & Ravenscroft Ltd (see graduation webpage for details on how
to order your gown)
You must order your gown by 31 December 2015 at the latest
Access needs and special seating requirements
We are committed to making the graduation ceremonies as inclusive as possible.
Please indicate below what you or your guests require to participate fully in this
event e.g. wheelchair access, sign language interpreter, special kind of seating
such as end of a row etc.
Name of person requiring special
arrangements:
Is that person a graduand or a guest?
Requirements:
If you have any queries about this, please telephone Sara Tooth on (01273)
877015.
NOTE: Due to limited wheelchair seating available in the Dome we can only
arrange this for you if we are informed in advance.
DEADLINE FOR RETURN OF FORMS
Monday 7 December 2015
After this date we will regard aby student who has not returned this graduation
form as having elected to receive their certificate in absentia. It will not then be
possible to attend in person at the ceremony.
Please send completed for to: Sara Tooth, Room 200, Sussex House,
University of Sussex, Falmer, Brighton, BN1 9RH
Email: s.tooth@sussex.ac.uk
Phone: 01273 877015