Pacifica Graduate Institute

Counseling Commencement and Diploma Information

Complete this form for your Counseling 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 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 commencement guests? (maximum 4)*
Do you wish to purchase your hood for $45.00 which will be charged to your account?*
Thesis Presentations
Please indicate your Track*
Do you plan to give a thesis presentation?*
If Yes, a luncheon is provided for you and up to 4 guests.
Do you plan to attend the luncheon?*
Number of luncheon guests (maximum 4)*
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.**

Counseling Commencement and Diploma Information

Thesis Presentations

This form must be submitted by March 18th.