Please Fill Out This Form:

Student Name(Required)

If yes, please select your ceremony. (Required)

Select your program
Select your program
Select your program
Name of the person pinning you
(Radiologic Technology, Respiratory Therapy, and Nursing graduates only)

Personalized Statement

We are inviting graduates to share a personalized statement that will be read along with your name when you walk across the stage during the ceremony. Fill out your statement in the text box below. Sample statements:
Sample statements: Example #1: "Jennifer wants to thank her family for supporting her throughout the program and will be continuing to work for Anonymous Hospital, accepting a position as an LPN. She hopes to continue on to achieve her RN through the River Valley ADN program." Example #2: "I plan to continue working at ACME Inc. where I have worked for the past six years. I would like to thank my family, friends, and classmates for the love and support during this long journey.
40 word limit