The Central Taiwan University of Science and Technology launched the first Adult Ceremony in 1985 and conducted it every year since then. However, there were some changes in this year 2003. The ceremony brought participants not only joy of growth but also consciousness of the responsibilities as adults. This study aimed to investigate the effect of the Adult Ceremony in 2003. The samples include 1089 students that had been 18 years old among Four-year Senior Nursing college (BSc) and Five –year Junior Nursing college (Diploma), and 12 their tutors. According to these 1101 valid questionnaires, 748 (68.7%) considered that the Film View with Zhu Zhong-Xiang was the most gratifying program in the ceremony, 592(54.4%) considered the archaized decorum that included male’s Guan-Ceremony and female’s Ji-Ceremony, 579(53.3%) considered the bell passing activity, 568(52.3%) considered the theatrical performance, and Cocoon. 551(50.6%) considered the experience of showing the retrospections of being together as classmates through PowerPoint. However, there were two lower rates of gratifying programs: a program of crossing over time by three stages: childhood, adolescent and adult for 351(32.2%) students; and singing for self expectation of 262(24%) students. 471(43.3%) students believed they gained through the effect of this Ceremony in 2003. The major reasons included understanding the meaning with growing to maturity and thinking about the meanings of life in the future. According to the class management program, only 637(58.6%) did it, and 287(45.1%) among them felt satisfied. Besides, 367(58.3%) students believed it (the class management program)was helpful. Two major reasons included getting closer affection with classmates and having deeper relationship with their tutors. In general, the result of this research confirms a good reception of the Adult Ceremony in 2003 and shows the constructive advice for the Adult Ceremony in 2004.