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Graduate's full name: *
City and state of graduate's current residence:
Graduate's birthday or age:
Type of graduation (high scool, college, medical school, etc.): *
Most significant person(s) in graduate's life:
Graduate's relationship to you (friend or family):
Graduate's biggest supporter:
Graduate's area of study:
What plans does the graduate have after graduation?
List any other thoughts, facts, stories or memories you might wish to include in your gift of poetry for the graduate:
Funny stories or people who brought humor into the graduate's journey:
Obstacles and struggles the graduate overcame in pursuit of his or her diploma or degree?
Activities you and the graduate enjoy doing together:
Graduate's interests, hobbies and talents:
Most significant thing in graduate's life:
Special words you would like to say to the graduate and your hopes for his or her future? *
How do you feel about the graduate and why are you proud of him or her? *
Did the graduate work while going to school and if so, where?
Names, ages, and sexes of your fiancee's children, if applicable:
City and state of graduation:
Additional comments, notes or instructions that you would like our writers to consider in creating your gift of poetry: *
Important milestones in the graduate's life:
Describe your relationship with the graduate:
Special moments shared between you and the graduate:
Date of graduation:
Who has influenced the graduate to pursue higher education?
Your relationship to
poetry recipient: *
Your full name: *
Your mailing address: *
Daytime phone number and best time to call: *
Evening phone number and best time to call: *
Special instructions or comments and date poem is needed: *
* Denotes required field.
Provide us with the requested information about yourself.
Then complete the poetry information request form below as you are able. Remember, the more detailed the information you provide, the more personal and unique the gift.
Your email address: *
Name of institution graduating from:
* Denotes required field
Physical traits of the graduate (e.g., tall,
hair color, eye color, strong, handsome,
cute, intelligent, witty, talented, etc.): *
Character traits of the graduate (e.g., supportive, loving, kind, thoughtful, caring,
hard worker, nurturing, unselfish, etc.): *
"special words for special people"
