Submitted Sunday, February 5, 2023 

Important: Please read the information below before completing the form.

This application is intended for use by doctoral students upon enrolling in their dissertation defense course and its submission is required prior to the scheduling of one's defense.

Please provide your name exactly as you would like it to appear on your diploma. The name on your diploma must match your official record. If there has been a change in your first or last name, please submit supporting documents such as a court order, marriage certificate or copy of a state or federally issued ID to the Office of Registration and Records as soon as possible.

First Name:

Middle Name:

Last Name:

Suffix (ex.: Jr., Sr., III):

Student ID Number:

Daytime Phone Number:

Email Address:

Degree Program:

Expected Semester of Completion: 

Expected Year of Completion:

Current Mailing Address

Street:

Apartment:

City:

State:

Zip Code:

Please provide your guest count below. Only provide your approximate guest count If you will be attending.

Number of guests (there is no limit; if none please enter "0"):

Regalia

Doctoral candidates are responsible for ordering their own regalia and Capitol Technology University doctoral regalia is required to participate in the commencement ceremony.  To order your doctoral regalia from our vendor, Oak Hall Cap and Gown , please visit  https://captechu.shopoakhalli.com/.  For customer service, please call 1-800-223-0429 and ask for Nicole Cabbler in the Customs Department.  All custom regalia sales are final. Please order now as these are custom robes that require significant lead time to produce