Pacifica Graduate Institute

Commencement and Diploma Information

Complete this form for your Commencement and Diploma information. (*indicates required field)

Name*
Phone*
Email Address*
Track*
Program*
Do you wish to participate in Commencement?*
Legal Name (This name must match your Pacifica Records)*
Print name to appear in the commencement program(if different from Diploma)
Phonetic Pronunciation of Name
Address to mail diploma if you do not plan to attend commencement
If you are attending commencement, please complete the following academic regalia order information
Gender*
Height*
Size(small, med or large or weight):*
Number of guests (maximum 4)*
Do you wish to purchase your hood for $45.00 which will be charged to your account?*
This form must be submitted by March 18th.

**Please note: the information gathered here is for Pacifica Graduate Institute use only and will not be shared
with anyone outside the institution.**

Commencement and Diploma Information

This form must be submitted by March 18th.