Convocation Ceremony 2025 - Student Registration and Regalia Order Form

Please check which ceremony location you will be attending: *

Comox Valley
Campbell River
Port Alberni

Student name (as it will be announced when you cross the stage): *

NIC student ID number: *

Telephone number: *

Email address: *

Do you identify yourself as an Indigenous person?

Yes
No

If yes, which Nation or chartered community do you belong to?

I am interested in becoming an NIC Alumni (See https://www.nic.bc.ca/about-us/alumni/): *

Yes
No

Enter the program taken: *

If the program taken is not in list, please enter it here:

Please check type of credentials: *

Certificate
Diploma
Associate Degree
Degree

Height: *

' "

Gown type: *

Regular size gown (44” chest & 60” body)
Full fit gown (45”+ chest & 74” body)

Do you have a physical disability that will require extra assistance during the ceremony? If yes, we will contact you directly regarding your needs. *

Yes
No

In the event I am unable to pick up my regalia, I authorize the following person to pick it up on my behalf:

Signature: *

Date (mm/dd/yyyy): *

Convocation Ceremony 2025 - Student Registration and Regalia Order Form

Personal Information

Voluntary Disclosure

Alumni

Program Information

Agreement

Fees