CPM 2019 Graduation Form

Please complete the form below with your CPM Graduation preferences by Friday, November 25th.
After this time, the form will no longer be accessible.

*Denotes fields required to process the form.

Contact Information

After you complete this form, you will receive an automated confirmation email to the address you enter below. Also, if we have any questions regarding what you've entered below, this is the address we will use.

First Name *

Last Name *

Email Address *

Confirm Email Address *

CPM Cohort

Are you planning on attending the graduation? *

Yes

Number of Guests

If you're planning on bringing guests, please let us know how many? This isn't binding, we're looking for an estimate.

Name & Agency Verification

Look at the l inked PDF (alphabetical by last name). Let us know if your name and agency are spelled correctly. (This is information from when you registered for CPM, unless you have given us different information since then.)

How it is listed on this PDF is how it will be printed on the program, your certificate, and in the press release unless you tell us otherwise. If your agency is listed generically, like Johnson County Government, be sure to indicate if you want it to be more specific (i.e. have your department name too).

Name and agency on the PDF are correct *

Yes

If you answered no on the previous question, how would you like your name and agency to be listed instead?

Pronunciation Guide

IF your name is often mispronounced or has a unique spelling, please help the person who will read your name at graduation Here’s an example, Tarik Khatib:

Tarik: Rhymes with Eric
Khatib: Ka - TEEB
The fields below are mandatory. If you feel like your name needs no explanation, simply put something to that effect (don't assume that your name is generic though, if there's the slightest chance we can butcher it, please give a pronunciation).

First Name pronunciation *

Last Name pronunciation *

CPM Experience

Write a sentence or two (roughly 25-35 words=brief) about your CPM experience that you’d like read out loud at graduation.

It could be something inspirational that was said in a class by an instructor, an exercise that you did that proved particularly meaningful, or anything else that you’d like to share with the graduation attendees about what you learned (from each other, guests, books).

This will be read (along with your name and agency) as you are getting your certificate from Terri and getting your picture taken.

CPM Experience *

Media

Help us shine a positive light on government work! It's important to us to show the public that public service professionals receive valuable leadership training, so we use a press release and social media announcing the newest crop of Kansas Certified Public Managers. You may not think that this is a big deal, but it REALLY is. You can help us in this endeavor by completing the following fields.

Press Release: If you give us permission, we will include your name and agency on a press release that will go out through KU News. If you’d prefer not to be included in the press release, you must click "No" below.

Social Media: If you give us permission, we will post on Twitter and on Facebook and tag your organization while congratulating you on your graduation. If you’d prefer not to have an announcement on social media, you must click "No" below. By the way, if you’re not already following us on Twitter, we’re @KUPMC. On Facebook, you'll find us here: https://www.facebook.com/kupmc

You have my permission to post my name on a press release *

Yes

County & City that you want listed as your county and city (this will affect which local media outlets see the press release)

Your organization’s Twitter handle (if you know it)

Your organization’s Facebook handle (if you know it)

Mailing Address

After graduation, we will mail you a copy of your cohort's group photo. Please tell us what mailing address we should send that to - be sure to include all address details like apartment number and/or zip code.

Mailing address *

Notes

Notes: Do you need specific accommodations, needs?

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