Academic Attendance / Gown Hire request
To register your attendance and ensure academic dress is hired-in on your behalf, please complete this form and email
it to: gradoffice@keele.ac.uk
To guarantee delivery on time it is essential that we receive your request no later than FRIDAY 12TH JUNE 2015.
(PLEASE INDICATE WHICH CEREMONIES YOU WISH TO ATTEND)
Monday
13th July
Tuesday
14th July
Wednesday
15th July
Thursday
16th July
10.15am
10.15am
10.15am
10.15am
11.30am
11.30am
11.30am
11.30am
1.45pm
1.45pm
1.45pm
1.45pm
3.00pm
3.00pm
3.00pm
3.00pm
4.15pm
4.15pm
YOUR DETAILS
TITLE:
(i.e. Mr/Mrs/Ms/Dr/Professor etc.)
FORENAME(S):
SURNAME:
SCHOOL:
POSITION HELD: (i.e. Reader/Senior Lecturer/Lecturer/Professor/Academic Related/ Clinical Doctor etc.)
MALE/FEMALE:
EMAIL ADDRESS:
CONTACT TEL NO:
GOWN HIRE REQUIREMENTS: (Please complete below, if you would like a gown to be ordered on your behalf)
I would like to attend at the above time(s), but DO NOT REQUIRE A GOWN TO BE HIRED
I would like to attend, PLEASE HIRE A GOWN ON MY BEHALF, MY DETAILS ARE BELOW
AWARDING INSTITUTION:
AWARD/DEGREE:
WITHIN THE FACULTY OF:
YEAR OF DEGREE:
CONVOCATION (London Only):
REQUIREMENTS: (i.e. full outfit/gown only/hood only/hat only)
HEIGHT: (feet and inches or metres)
HAT SIZE: (please measure the circumference of your head above your ears give measurement in inches or cm)
HAT TYPE: (standard/hard-hat/ladies-soft)
ANY SPECIAL REQUIREMENTS:
N.B. Staff gown collection point is in KS2 in the Students’ Union
(access via the ramp opposite the library)
Staff gowns can be collected from 8.00am and must be returned by 6.30pm