Skip Navigation Links
Home
News & Events
Academic Depts
Prospective Students
Current Students
Athletics
Campus
Gift Giving
Please complete the form below.

STEP 1

Name as it should appear on the certificate
 

Height for gown size
 

Will you be attending the pre-reception and bringing guests (limit 2)




Number of guests for graduation ceremony


Current mailing address
 

City
 

State
 

Zip
 

Phone number
 

Alternate Phone number


E-mail address


© 2014 Kaskaskia College - 27210 College Road - Centralia, Illinois 62801 - (618)545-3000 (800)642-0859