BE-GRADUATION FORM 2016.crtr

Please indicate which publication:
Butler Eagle with photo - $15
Cranberry Eagle with photo - $12
Both Publications with photo - $20
Without photo - $10
Without photo - $8
Without photo - $12
Mail to:
or
Community Department
Drop off at Main Office
P.O. Box 271
114 W. Diamond St.
Butler, Pa 16003
Butler, Pa 16001
Fax: 724-282-4180
Phone: 724-282-8000 x253
[email protected]
Graduate’s name
Address
Parents
Address
Name of college, university or school
Degree or certification received
Examples
With photo**
Joe Davis received a Master of
Education from Slippery Rock
University. He graduated with a
3.8 GPA and
certification
in education.
Davis is a
1992 graduate of Butler
High School
and received
a bachelor’s
Davis
degree in
secondary
education and social studies
from Clarion University in 1996.
He lives in Slippery Rock.
He is the son of Jim and Sue
Davis of Zelienople.
Honors, awards or scholarships
Employment
Other education (high school)
Year
(Other)
Year
Without photo
If married, name of spouse and number of children
Questions will be answered by
Daytime telephone
Signature of graduate
**Photos published for college graduates. Send black and white or color photo (not guaranteed will
appear in color). High-resolution JPGs will be accepted via e-mail. Photos become the property of
The Butler Eagle.
Joe Davis received a Master of
Education from Slippery Rock
University. He graduated with a
3.8 and certification in special
education.
Davis is a 1992 graduate of
Seneca Valley High School and
received a bachelor’s degree in
secondary education and
social studies from Clarion
University in 1996.
He lives in Slippery Rock.
He is the son of Jim and Sue
Davis of Zelienople.
Published on Sunday & Friday
Payments accepted:
Cash
Name on Credit Card
Address
City
Check
Credit Card Number
State
Expiration Date
Zip
CVV Number
(3 digit number on back of card)
Signature
BE-GRADUATION FORM 2016