Faculty Cap & Gown Order Form
Medical School Graduation for the Class of 2013

The deadline for ordering the cap & gown is April 5, 2013.

* Required

Name: *
Phone: *
E-mail Address *
Department *
Medical/Graduate School Attended: *
Degee Received *
Gown Details
  Height * (add inches for heels)
  Jacket/Dress Size * (i.e.: 38, 40, 42 or 8, 10, 12)
Other Comments :
 
   
Optional: Other Contact Information (secretary, Administrator, etc.)
Name:
Phone:
E-mail Address
 

If you have any questions regarding ordering the caps and gowns, please direct them to

Paula Meyer
Office of Medical Student Education
C5124 Medical Science I - Box 5611
phone: (734) 763 7981
fax: (734) 763-5480
paumeyer@med.umich.edu