DIPLOMA REORDER REQUEST
Date _________________________ Student ID# ____________________________
Name _________________________________________________________________________________
(PRINT
name exactly as you want it to appear on your diploma-Your name must match what
we have on record)
Street _________________________________________________________________________________
City ___________________________ State ___________________________ Zip ____________
Phone ______________________________________ Birth date _______________________________
Email _________________________________________________________________________________
Degree earned ________________________________ Date earned _____________________________
Delivery Options:
¨ I will pick my diploma from the Office of the Registrar-Room 154.
¨ Please mail my diploma to the address below.
Diploma Mailing Information (PLEASE PRINT
LEGIBLY)
Name _________________________________________________________________________________
Address _______________________________________________________________________________
City ___________________________ State __________________________ Zip ___________
Signature _________________________________________________________ Date _____________
*If there are any holds on your record, a diploma will
not be issued until all holds are cleared.*
**Due to printing schedules, please allow 4 to 6 weeks
for receipt of diploma. **
***Please note that there is a fee to reorder diplomas. You must pay the fee before your diploma is ordered. Please inquire