High School Graduate Recognition Form

Central Baptist Church High School Graduate Recognition Form

Student’s Name:*

Name of Parent(s) or Guardian(s):*

Graduate of College/Institution:*

Received Degree in:*

Future Plans:*

List three (3) Awards and/or Recognitions received during the school year:

1. *

2.

3.

Parent(s)/Guardian(s) Telephone Numbers:

Parent(s)/Guardian(s) Home Number:*

Parent(s)/Guardian(s) Cell Number:*

Graduate’s Telephone Numbers:

Graduate’s Home Phone:*

Graduate's Cell Phone:*

Graduate's Email Address:*

Graduate's Signature: Please type your signature*

Date Placed in Education Ministry Box*

NOTE: All graduates are REQUIRED to wear their graduation attire and/or cap and gown to participate in Graduate’s Recognition Program. All photos submitted must depict graduation attire. Please do not submit prom photos or general photos.

NOTE: Please upload a photo (Wallet-size is preferred).*

NOTE: Additional uploads

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