DIPLOMA ORDER FORM

All students who graduate from Minnesota State University Moorhead are given one copy of their If you have lost or misplaced your diploma and would like to request a new one, please submit this form to the Record Office for a replacement diploma.

The diploma will be ordered when the $10 payment is received.  It takes six weeks from that point to receive the diploma from the printer.

FULL NAME AS IT SHOULD APPEAR ON DIPLOMA:

SSN OR Dragon ID: 

MAILING ADDRESS: 

Email Address:

Phone Number:

DEGREE:

HONORS:

DATE OF GRADUATION:

SIZE OF DIPLOMA  

Small (6” x 8”)

Large (8½” X 11”)

Both

There is a $10.00 charge for each diploma.

Include a check payable to:

MINNESOTA STATE UNIVERSITY MOORHEAD

Send this request to:

Bonnie Thompson
Records Office
1104 7th Ave. S.
Moorhead MN 56563