Lavender Graduation & Advocate Appreciation

Participation Application

An annual reception is held for graduating students who are connected to or part of the Lesbian, Gay, Bisexual, Trans*, Queer/Questioning, Asexual and Ally (LGBTQA+) community at UNL. Students graduating in May, August or December are eligible to participate. The event information is included on our web pages or you can contact the LGBTQA+ Resource Center for more information or forms.

Family and friends are encouraged to attend!

If you are a LGBTQA-identified student graduating anytime within this year and would like to participate, please complete the online form. You will be contacted by the LGBTQA+ Resource Center by email with information about the event. Print copies are also available (download) or you can pick up a form at the center, located in 346 Nebraska Union, by the deadline posted online.

For more information call 472.1752 (Pat) or 472.1652(LGBTQA+ Resource Center) or email .

Name: ______Student ID#: ______

Email address: ______Phone number: ______

Major(s): ______

Minor(s):______

Degree(s): ______

Graduate Date: ______Preferred Pronouns:______

Honors/Awards: ______

______

Certificates (e.g., teaching): ______

Your photo will be taken at the ceremony. Please indicate here whether Student Involvement has your permission to post the photo. YES NO

If you have an appropriate quote or comment you would like included in the program, please include it here:

Do you have any dietary restrictions or food restrictions (we will accommodate when ordering food for the reception as best we can)? Please specify:

Is there any other relevant information you would like us to be aware of?

ADVOCATE APPRECIATION

Is there a UNL faculty or staff member that you would like to have acknowledged at the ceremony as an advocate – someone who was proactive in providing support or guidance to you as an LGBTQA+ student who made a significant impact in your academic achievement? If yes, please provide the following (for up to 3 people). We will invite each person to the reception and acknowledge their contribution.

Name: ______Email address: ______

Phone number: ______

How this person advocated for you and why you would like them recognized as an advocate:

b. Name: ______Email address: ______

Phone number: ______

How this person advocated for you and why you would like them recognized as an advocate:

c. Name: ______Email address: ______

Phone number: ______

How this person advocated for you and why you would like them recognized as an advocate:

By submitting this form I certify that I am graduating within the current year and I give LGBTQA+ Resource Center permission to verify my graduation status.

Signature: ______Date: ______